Author/Editor		Rokavec, Alenka; Spindler, Majda
Title		Izkušnje v diagnostiki in zdravljenju benigne paroksizmalne položajne vrtoglavice
Translated title		Experience in diagnostics and therapy of benign paroxysmal positional vertigo
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 43, št. Suppl 3
Publication year		2004
Volume		str. 75-8
Language		slo
Abstract		The authors presents benign paroxysmal positional vertigo (BPPV) as the most common cause of vertigo of peripheral origin. This disorder occurs due to free floating otoconia in the endolymph of the semicircular canals. The diagnosis is confirmed by medical history, clinical presentation and results of positional tests. BPPV is usually treated with nonsurgical methods. The Epley repositioning maneuvre is presented. Outpatients treated with BPPV at the Department of Otorhinolaryngology and Cervicofacial Surgery of the Maribor General Hospital during the year 2003 are presented. There were 83 patients treated with BPPV that year, i. e. 38% of all peripheral vestibular disorders. 72 patients were managed in entirety, and 58 of them (80.5%) had posterior canal BPPV. The Epley repositioning maneuvre was performed in 41 patients, in 75.6% of them successfully. Further diagnosis is necessary if clinical symptoms persists after the maneuvre.
Summary		Avtorici predstavljata benigno paroksizmalno položajno vrtoglavico (BPPV), ki je najpogostejši vzrok za periferno vrtoglavico. Vzrok zanjo so prosto plavajoči otokoniji ali njihovi delci v endolimfi polkrožnih kanalov. Spoznamo jo po značilni anamnezi, klinični sliki in rezultatih položajnih testov. V zdravljenju BPPV prevladujejo neinvazivne metode, med katerimi avtorici opisujeta repozicijski manever po Epleyju. V nadaljevanju članka predstavljata bolnike z BPPV, pregledane v Avdiološki ambulanti Oddelka za otorinolaringologijo in cervikofacialno kirurgijo Splošne bolnišnice Maribor v letu 2003, ki jih je bilo 83 ali 38% vseh perifernih okvar ravnotežja. Med 72 obdelanimi bolniki jih je imelo 58 (80,5%) znake prizadetosti zadnjega polkrožnega kanala. Repozicijski manever po Epleyju je bil izveden pri 41 bolnikih, uspešen je bil pri 75,6%. Če težave po repozicijskem manevru ne izzvenijo, je potrebna dodatna diagnostična obravnava.
Descriptors		VERTIGO