Ba\u015f d\u00f6nmesi ( vertigo) ve nedenleri hakk\u0131nda bilgi veren Beyin ve Sinir Cerrahisi Uzman\u0131 Prof. Dr. Hidayet Akdemir, \u2019\u2019Ge\u00e7meyen ba\u015f d\u00f6nmesi beyincik sarkmas\u0131n\u0131n belirtisi olabilir\u2019\u2019 dedi.<\/p>\n
Hastanelerin acil servislerine ba\u015fvuran hastalar\u0131n y\u00fczde 25\u2019i ba\u015f d\u00f6nmesi \u015fikayetiyle geldi\u011fini, ba\u015f d\u00f6nmesi ve dengesizlik \u015fikayetinin beyincik sarkmas\u0131n\u0131n \u00f6nc\u00fc \u015fikayetleri oldu\u011funu belirten Medicana International \u0130stanbul Hastanesi Beyin ve Sinir Cerrahisi Uzman\u0131 Prof. Dr. Hidayet Akdemir, ba\u015f d\u00f6nmesi ve nedenleri hakk\u0131nda a\u00e7\u0131klamalarda bulundu. Prof. Dr. Akdemir, ge\u00e7meyen ba\u015f d\u00f6nmesinin beyincik sarkmas\u0131n\u0131n belirtisi olabilece\u011fini s\u00f6yledi.<\/p>\n
Beyincik sarkmas\u0131n\u0131n 4 tipi oldu\u011funu belirten Prof. Dr. Hidayet Akdemir, \u2019\u2019En s\u0131k g\u00f6r\u00fcleni Tip-1 olan\u0131d\u0131r. Beyincik sarkmas\u0131 do\u011fu\u015ftan beyincik etraf\u0131ndaki kemik yap\u0131lar\u0131n\u0131n darl\u0131\u011f\u0131 veya beyincik i\u00e7erisindeki yap\u0131\u015f\u0131kl\u0131klar, beyincik i\u00e7erisindeki su kanallar\u0131n\u0131n kapanmas\u0131 nedenleriyle beyinci\u011fin boyundaki omurilik kanal\u0131na do\u011fru uzamas\u0131d\u0131r. Hastal\u0131k genellikle 25-35 ya\u015flar\u0131 aras\u0131nda g\u00f6r\u00fclmesine ra\u011fmen \u00e7ocuklarda daha nadirdir. Son y\u0131llarda g\u00f6r\u00fcnt\u00fcleme te\u015fhis y\u00f6ntemlerinde s\u0131k kullan\u0131lmas\u0131yla te\u015fhisi daha kolay ve h\u0131zl\u0131 konulmaktad\u0131r. Hastal\u0131\u011f\u0131n kal\u0131tsal ge\u00e7i\u015fi iyi bilinmekle birlikte kad\u0131nlarda erkeklere oranla daha s\u0131k g\u00f6r\u00fclmektedir\u2019\u2019 ifadelerini kulland\u0131.<\/p>\n
Hastal\u0131kla ilgili \u015fikayetler<\/p>\n
Hastal\u0131kla ilgili \u015fikayetlere de\u011finen Prof. Dr. Akdemir, \u2019\u2019Ba\u015f d\u00f6nmesi \u015fikayeti olan hastalarda \u015fikayet ve bulgular \u00e7ok fazla olup hastalar\u0131n y\u00fczde 30\u2019u hi\u00e7 bir \u015fikayet vermezken y\u00fczde 70\u2019i ise ilerleyici ve ciddi n\u00f6rolojik \u015fikayetlerle hastanelerin de\u011fi\u015fik polikliniklerine ba\u015fvururlar. Bu hastalarda \u00f6ks\u00fcr\u00fck ve hap\u015f\u0131rma gibi kafa i\u00e7i bas\u0131nc\u0131 art\u0131ran hareketler sonras\u0131 ba\u015f d\u00f6nmesi, ba\u015f a\u011fr\u0131s\u0131, boyun a\u011fr\u0131s\u0131, g\u00f6rme \u015fikayetleri d\u0131\u015f\u0131nda spesifik i\u015faretleri yoktur. Bu hastalar n\u00f6roloji, beyin cerrahi, psikiyatri, KBB, g\u00f6z hastal\u0131klar\u0131, g\u00f6\u011f\u00fcs hastal\u0131klar\u0131, kardiyoloji, dahiliye, fizik tedavi ve acil servislere gibi pek \u00e7ok polikliniklerine ba\u015fvurmaktad\u0131rlar\u2019\u2019 dedi.<\/p>\n
Hastalarda g\u00f6r\u00fclen klinik bulgular\u0131n\u0131 a\u00e7\u0131klayan Prof. Dr. Akdemir, \u2019\u2019Oto n\u00f6rolojik i\u015faretler: Ba\u015f d\u00f6nmesi, dengesizlik, kulak \u00e7\u0131nlamas\u0131, i\u015fitme kayb\u0131d\u0131r. Kafa i\u00e7i bas\u0131n\u00e7 artmas\u0131na ba\u011fl\u0131 ba\u015f a\u011fr\u0131s\u0131d\u0131r ve bu a\u011fr\u0131 enseden ba\u015flay\u0131p g\u00f6zlerin arkas\u0131na do\u011fru boyuna, omuzlara yay\u0131lan a\u011fr\u0131lard\u0131r. Omurilik siniri i\u00e7erisinde s\u0131v\u0131 birikimine ba\u011fl\u0131 \u015fikayetler : Bu durum hastalar\u0131n y\u00fczde 40-60\u2019\u0131nda g\u00f6r\u00fcl\u00fcr. Kollarda kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc, duyu kayb\u0131 ve ellerde beceri ve koordinasyon bozukluklar\u0131 g\u00f6r\u00fclmektedir. G\u00f6z bulgular\u0131: G\u00f6zlerin arkas\u0131nda bas\u0131n\u00e7 ve a\u011fr\u0131, bulan\u0131k g\u00f6rme, \u00e7ift g\u00f6rme, \u0131\u015f\u0131\u011fa ve g\u00fcne\u015fe bakamama. Beyincik \u015fikayetleri : Dengesizlik, koordinasyon ve beceri bozukluklar\u0131 yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, ses k\u0131s\u0131kl\u0131\u011f\u0131, ellerde titremeler, uyku apnesi\u2019\u2019 \u015feklinde konu\u015ftu.<\/p>\n
\u2019\u2019Beyincik sarkmas\u0131n\u0131 di\u011fer hastal\u0131klarla kar\u0131\u015ft\u0131rmay\u0131n\u2019\u2019<\/p>\n
Beyincik sarkmas\u0131n\u0131n di\u011fer hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131lmamas\u0131na vurgu yapan, \u2019\u2019Ba\u015f d\u00f6nmesi ve ba\u015f a\u011fr\u0131lar\u0131 \u00e7eken hastalar\u0131n bir beyin sinir cerrahi uzman\u0131 taraf\u0131ndan muayene edilerek te\u015fhis i\u00e7in gerekli g\u00f6r\u00fcnt\u00fcleme tekniklerinin (beyin MR, beyin BT, odyometrik gibi testler) yap\u0131lmas\u0131 gerekir\u2019\u2019Tedavideki \u00f6ncelik altta yatan birincil hastal\u0131\u011f\u0131n tedavisidir. \u00d6rne\u011fin kulak kaynakl\u0131 ba\u015f d\u00f6nmeleri ile ilgili KBB hekimi taraf\u0131ndan t\u0131bb\u0131 veya cerrahi y\u00f6ntemlerle tedavi edilmektedir. Beyincik kaynakl\u0131 ba\u015f d\u00f6nmeleri ve dengesizlik ise n\u00f6rololojk bran\u015flarda beyin cerrahi ve n\u00f6roloji hekimlerince, psikojen kaynakl\u0131 olanlar\u0131 ise psikiyatristlerce tedavi edilmektedir. Beyin cerrahisini ilgilendiren ba\u015f d\u00f6nmesi ve dengesizli\u011fi beyincik sarkmas\u0131 te\u015fhisinde oldu\u011fu gibi tedavisinde de pek \u00e7ok yenilikler vard\u0131r. Tedavinin temel sorusu beyincik sarkmas\u0131 hastaya \u015fikayet veriyor mu yoksa vermiyor mu? Bu y\u00fczden MR bulgular\u0131ndaki sarkmadan ziyade, hastan\u0131n \u015fikayetleri esas al\u0131nmal\u0131d\u0131r. Maalesef bu do\u011fumsal anomalinin t\u0131bb\u0131 tedavide ila\u00e7lar\u0131n yeri yoktur. N\u00f6rolojik cerrahlar bu hastal\u0131\u011f\u0131 tedavi etmeden, \u00f6ncelikle hastal\u0131\u011f\u0131n tipinin do\u011fru tan\u0131mlamal\u0131d\u0131r. Cerrahi tedavide ama\u00e7 ense b\u00f6lgesinde s\u0131k\u0131\u015fan beyin yap\u0131lar\u0131ndaki bas\u0131y\u0131 gidermek, beyin omurilik suyunun ak\u0131\u015f\u0131ndaki engeli kald\u0131rarak bu suyun ak\u0131\u015f\u0131n\u0131 sa\u011flamakt\u0131r. Hastaya uygun do\u011fru teknik uyguland\u0131\u011f\u0131nda cerrahi ba\u015far\u0131 m\u00fckemmeldir\u2019\u2019\u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
PROF. DR. H\u0130DAYET AKDEM\u0130R<\/p>\n","protected":false},"author":1,"featured_media":46757,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[15872,1732,5896,15874,15873,5897,15875],"class_list":["post-46756","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-gecmeyen","tag-bas","tag-belirtisi","tag-beyincik","tag-donmesi","tag-olabilir","tag-sarkmasinin"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/02\/gecmeyen-bas-donmesi-beyincik-sarkmasinin-belirtisi-olabilir_6fede9a.jpg?fit=665%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-ca8","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/46756","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=46756"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/46756\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/46757"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=46756"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=46756"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=46756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}