Hrvatske smjernice za dijagnostiku i liječenje benignoga paroksizmalnog pozicijskog vertiga (BPPV-a)

Professional paper - Professional paper

• Title (english): Croatian guidelines for diagnosis and management of benign paroxysmal positional vertigo (BPPV)
• Author: Siniša Maslovara
• Author: Silva Butković-Soldo
• Author: Petar Drviš
• Author: Marina Roje-Bedeković
• Author: Robert Trotić
• Author: Srećko Branica
• Author: Mario Habek
• Author: Tereza Cvjetko
• Author: Tihana Vešligaj
• Author: Ivan Adamec
• Author: Tereza Gabelić
• Author: Stjepan Jurić
• Author: Andrijana Včeva
• Author: Željko Vranješ
• Author: Ingrid Sarić
• Author: Olivera Čejić
• Author: Tihomir Živić
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

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.

Abstract (croatian)

BPPV je općenito najčešći uzrok vrtoglavice, prouzročen otkidanjem sitnih kristalića kalcijeva karbonata, zvanih otokonije ili otoliti, iz otolitičke mrlje utrikulusa, najčešće zbog degenerativnih procesa ili traume. Djelovanjem sile teže, pri određenom položaju glave koji se podudara sa smjerom sile teže, otoliti dospijevaju u jedan od polukružnih kanalića labirinta, najčešće stražnji zbog postojećih anatomskih odnosa. Plutajući endolimfom, podražuju kupularno osjetilo, izazivajući simptome kratkotrajne, ali snažne vrtoglavice. Razlikuju se dva glavna klinička oblika BPPV-a: kanalolitijaza – nakupljanje otolita u kanalićima i kupulolitijaza – nakupljanje otolita neposredno uz sámo kupularno osjetilo. Dijagnoza bolesti postavlja se pozitivnom položavajućom probom, Dix-Hallpikeovom za stražnji polukružni kanalić, a supine roll za bočni kanalić. Premda se može očekivati spontani oporavak nakon nekoliko tjedana ili mjeseci, različiti postupci repozicije otolita dovode do trenutačnog poboljšanja, smanjenjem ili potpunim povlačenjem simptoma bolesti. Ove smjernice namijenjene su svima koji se u svojem radu mogu susresti s BPPV-om, a cilj im je pomoć u postavljanju dijagnoze i primjeni odgovarajućeg načina liječenja oboljelih.

• Keywords (english): Benign Paroxysmal Positional Vertigo/classification; Benign Paroxysmal Positional Vertigo/diagnosis; Benign Paroxysmal Positional Vertigo/therapy; Croatia; Humans; Otolithic Membrane/pathology; Patient Positioning; Practice Guidelines as Topic
• Language: croatian
• Publication type: Professional paper - Professional paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 137, no. 11-12, pp. 335-342
• p-ISSN: 0024-3477
• URN:NBN: urn:nbn:hr:105:767599
• Publication: 2015-11
• Document URL: http://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/hrvatske-smjernice-za-dijagnostiku-i-lijecenje-benignoga-paroksizmalnog-pozicijskog-vertiga-bppv-a/
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 09:36:19