Benign Paroksismal Pozisyonel Vertigo: Patofizyoloji, Değerlendirme ve Tanılama
Benign Paroksismal Pozisyonel Vertigo BPPV , en sık karşılaşılan vestibüler hastalıklardan biridir. BPPV’ye bağlı pozisyonel vertigo yaşayan hastaların büyük çoğunluğunda posterior veya horizontal kanalın etkilendiği görülmüştür. Daha nadir olarak anterior kanal BPPV ile de karşılaşılmaktadır. BPPV’ye neden olan patofizyolojik mekanizmalar olarak kanalitiazis ve kupulolitiazis teorileri kabul görmektedir. BPPV’nin değerlendirilmesi sırasında genellikle kanala özgü manevralar kullanılmaktadır. Kanala özgü BPPV’nin tanılama kriterleri de birbirinden farklılık göstermektedir. BPPV’nin patofizyolojisi, prevalansı, klinik semptom ve bulguları iyi bilinmekle birlikte halen doğru tanılama ve tedavide zorluklar yaşanmaktadır. Bu derlemede BPPV’nin prevelansı, patofizyolojisi, değerlendirme yöntemleri ve tanılama kriterleri hakkında literatürde yer alan önemli kaynaklardan derlenen bilgiler, kendi klinik tecrübelerimizle harmanlanarak sunulmuştur
Anahtar Kelimeler:
Benign paroksismal pozisyonel vertigo, kanalitiazis, kupulolitiazis, değerlendirm, diagnostik kriter
Bening Paroxysmal Positional Vertigo: Pathophysiology, Evaluation and Diagnosis
Benign Paroxysmal Positional Vertigo BPPV , is one of the most common vestibular disorders. The majority of patients with positioning vertigo with BPPV that affects either the posterior PC-BPPV or the horizontal HSC-BPPV .There is evidence that anterior canal BPPV AC-BPPV is the least common type of BPPV. The cupulolithiasis and canalithiasis pathophysiologic mechanisms continue to be the two primary theories explaining BPPV. There are several maneuvers that have been designed to evaluate each semicircular canals. Although the prevalence, pathophysiology, clinical presentation and diagnostic criteria are well known, yet the condition often goes undiagnosed or is treated inappropriately. In this review, we have provided the classification, prevalence, pathophysiologic mechanisms, evaluation techniques and diagnostic criteria of BPPV
Keywords:
Benign paroxysmal positional vertigo, canalolithiasis, cupulolithiasis, evaluation, diagnostic criteria,
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- ISSN: 2651-3757
- Başlangıç: 2018
- Yayıncı: Odyoloji Konuşma ve Ses Bozuklukları Derneği
Sayıdaki Diğer Makaleler
Aysun Parlak KOCABAY, Betül Çiçek ÇINAR, Merve Ozbal BATUK, Gonca SENNAROĞLU
Çocuklarda Eşdeğer Kulak Kanalı Hacmi Değerlerinin Yaşa Göre Değişiminin İncelenmesi
Samet KILIÇ, Betül Çiçek ÇINAR, Gonca SENNAROĞLU
Akıcı Konuşma Bozukluğunda Terapi Etkinliğinin Objektif Ses Analizi İle Değerlendirilmesi
Bünyamin ÇILDIR, Özgül Akın ŞENKAL, Müzeyyen ÇİYİLTEPE
Benign Paroksismal Pozisyonel Vertigo: Patofizyoloji, Değerlendirme ve Tanılama
Burak ÖZTÜRK, Münevver GÜLEÇ, Teslime Nur DEVECİ, Meryem Tuğçe GÜLER
Merve İKİZ, Merve Ozbal BATUK, Aysun Parlak KOCABAY, Betül Çiçek ÇINAR, Gonca SENNAROĞLU