Benign positional vertigo (benign paroxysmal positional vertigo -BPPV) dizziness resulting from certain head positions, and involuntary movements of the eyes (nystagmus), characterized by spontaneous is a disease that can often show improvement.
The cause of the disease is located in the inner ear that allows calcium to conceive of gravity and small crystals (kanalit) of the section called the vestibule of the inner ear normally adherent as they broke from the region and following the release channels in the inner ear fluid into the balance of this zone is to escape.
Some of the crystals that escaped into the channel balance to the movements of the head to the stimulation of nerve endings in the aftermath of typical complaints here as to why raises (kanalitiazis). Detected involuntary eye movements (nystagmus) and the direction of the equilibrium shape of the problem, although it varies by Channel, in this disease, usually by gravity on the balance kept in the bottom position the channel back, horizontal, and Top/extremely rare involvement of the front channels are monitored.
The mechanism of formation of this pathology was detected in patients before BPPV gain clarity of various treatment methods were used. Benefits of a medication proven effective for avoiding attacks trigger does not exist, since the movements of the head, it was noted that the most effective treatment method.
Nowadays positional vertigo disease, in the treatment of complaints and the crystals Epley getaway for the first time applied as directed to remove it from the channel is defined by “maneuver is the treatment to reposition kanalit” is used. The disease is self-limiting structure and the balance of having to remove it from the channel they entered kanalit kanalit for the reposition maneuver (CRM) with the first treatment option is to be preferred because they can be KRM largely brought under control.
Depending on the severity of resolve complaints kanalit reposition maneuver, despite the loss of new crystals does not prevent it. For this reason, to prevent the recurrence of the disease, by affecting the function of nerve cells in the inner ear such as Meniere's disease, which can cause inner ear pathology or loss of Crystal circulatory disorders, diabetes, thyroid dysfunction is a systemic pathology such as if you have this problem needs to be treated.
Patients who do not respond to other treatment methods to be applied in cases of BPPV affecting the lives of various surgical techniques that are defined in violence there.
The Diagnosis Of Positional Vertigo
- The patient's head movements and the feeling of dizziness that occur with changes in body position in the story have
- When it is turned in one direction by tilting the patient's head backward to be hanging down from the top of the head (Dix-Hallpike test occurring after a waiting period of 2-5 seconds during the fast phase at the bottom
- the rotation of the right wheel in the style remaining in the ear involuntary eye movement (nystagmus rotatuar of) a feeling of dizziness or nausea the patient to be identified and at the same time,the development of
- Nystagmus short-term (generally less than 20 seconds),
- The sitting position when you turn in the opposite direction and shorter-term formation of nystagmus,
- History, examination and necessary in situations where hearing, balance tests and Radiological findings with the brain, brain stem, and cerebellar balance nerve pathologies have been ruled out.
Positional Vertigo Treatment
Crystal diagnosed with positional vertigo of the posterior balance in the vast majority of entering into the channel of the kanalit repositioning maneuver (CRM) is provided to pass with complaints.
KRM patients for a period of 48 hours after the disease of the ear, the turning to his side, not to sleep, to sleep on a high pillow back or on the reverse side, bending over, and to refrain from sudden movements not where to lay their heads facing up is recommended. Control patients 2 to 5 days between being invoked, control the Dix-Hallpike test in the eyes with nystagmus and / or vertigo in patients with KRM being repeated, the occurrence of complaints in case of patients who are unable to identify the problem, reference is extracted from the trace.
Maneuver with the treatment of complaints of the only full pass rate %is close to 75-90. With 2-3 treatments 84-100% complete healing or a significant reduction in symptoms can be achieved.
Most patients have been identified in some patients with positional vertigo cause of the main reasons that cannot fully; of concussion or head injury, advanced age, circulatory disturbances, and other periods of bed rest are still ranked as ear diseases.
High success rates maneuver therapy (KRM) is an effective treatment tool shows that in addition to being painless and easy method. Both the presence of an accompanying pathology with a low proportion of successful results have been obtained both considering KRM, the story and the Dix-Hallpike test for BPPV dizziness in patients diagnosed with other diagnostic methods to differentiate between the causes of the standard implementation is necessary, thus provide an economical treatment, although it is accepted that some uncomfortable even avoiding unnecessary advanced diagnostic methods may be possible.