Liječnički vjesnik, Vol. 137 No. 11-12, 2015.
Stručni rad
CROATIAN GUIDELINES FOR DIAGNOSIS AND MANAGEMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV)
Siniša Maslovara
Silva Butković-Soldo
Petar Drviš
Marina Roje-Bedeković
Robert Trotić
Srećko Branica
Mario Habek
Tereza Cvjetko
Tihana Vešligaj
Ivan Adamec
Tereza Gabelić
Stjepan Jurić
Andrijana Včeva
Željko Vranješ
Ingrid Sarić
Olivera Čejić
Tihomir Živić
Sažetak
BPPV is generally the most common cause of vertigo, caused by a pinch-off of tiny calcium carbonate crystals (called the otoconia or the otoliths) from the macula utriculi, most frequently due to the degenerative processes or a trauma, whereby the crystals, under the action of gravity in certain head positions coinciding with its direction, arrive to some of the semicircular canals, usually the posterior one, due to the existent anatomical circumstances and relationships, thus creating an inadequate stimulus of the cupular senses while floating through the endolymph and provoking symptoms of a strong and short-term dizziness. Two main clinical forms can be distinguished: canalolythiasis, with an accommodation of otolithic debris in the semicircular canal, and cupulolythiasis, with their location immediately next to the cupular sense. The diagnosis is established by a positive positioning test, Dix-Hallpike for the posterior and the supine roll for the lateral canal. Although one can expect a spontaneous recovery subsequent to few weeks or months, various methods of otolith repositioning to a less sensitive place lead to a prompt improvement while reducing or withdrawing the symptoms completely. These guidelines are intended for all who treat the BPPV in their work, with an intention to assist in the diagnosis and application of an appropriate therapeutic method.
Ključne riječi
Benign paroxysmal positioning vertigo – etiology, diagnosis, therapy; Semicircular canals – physiopathology; Nystagmus, pathologic – physiopathology; Lithiasis; Posture; Physical therapy modalities; Practice guidelines as topic; Croatia
Hrčak ID:
172736
URI
Datum izdavanja:
28.12.2015.
Posjeta: 3.284 *