Title Incidencija i kliničke karakteristike perifernih vestibularnih poremećaja
Title (english) Incidence and clinical characteristics of peripheral vestibular disorders
Author Ozren Marin Krnić
Mentor Marisa Klančnik (mentor)
Committee member Zaviša Čolović (predsjednik povjerenstva)
Committee member Zenon Pogorelić (član povjerenstva)
Committee member Mirko Kontić (član povjerenstva)
Granter University of Split School of Medicine (Otorhinolaryngology) Split
Defense date and country 2021, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Otorhinolaryngology
Abstract Ciljevi: Cilj istraživanja bio je utvrditi učestalost pojedinih perifernih vestibularnih poremećaja i učestalost tih poremećaja prema dobi i spolu. Također je trebalo prikazati najčešće kliničke karakteristike perifernih vestibularnih premećaja.
Materijali i metode: Radi se o retrospektivnoj studiji u kojoj su korišteni i obrađivani podatci ispitanika iz registra Zavoda za audiologiju Klinike za bolesti uha grla i nosa s kirurgijom glave i vrata, Kliničkog bolničkog centra Split, u razdoblju od 1. siječnja 2020. godine do 1. siječnja 2021. godine, a kojima je postavljena dijagnoza perifernog vestibularnog poremećaja. Ispitanici su osobe između 23 i 82 godine života kojima je u Zavodu za audiologiju urađena tonalna audiometrija i vestibulometrija te postavljena dijagnoza jednog od sljedećih vestibularnih poremećaja: BPPV, vestibularni neuronitis, Menierova bolest i labirintitis. Ispitanici su podijeljeni 3 dobne skupine (23-44, 45-64, 65-82 godine). Materijali istraživanja su nalazi tonske audiometrije i vestibulometrije, podaci o dobi i spolu ispitanika te kliničkim karakteristikama perifernih vestibularnih poremećaja.
Rezultati: Naša studija pokazuje da je BPPV najučestaliji oblik perifernih vestibularnih poremećaja koji se značajno češće javljaju u žena (68%) u odnosu na muškarce (32%). Starije dobne skupine (45-64 i 65-82 godine) imaju veću incidenciju perifernih vestibularnih poremećaja u odnosu na najmlađu dobnu skupinu (23-44 godine). Incidencija BPPV-a (51%) i vestibularnog neuronitisa (49%) u muškaraca je gotovo jednaka, dok u uzorku žena nalazimo veću incidenciju BPPV-a (64%) u odnosu na vestibularni neuronitis (23%).
Zaključci: Periferne vrtoglavice su najučestalije vrtoglavice u odrasloj dobi, a među njima je najzastupljeniji BPPV. Značajno češće se javljaju u žena, a starije dobne skupine imaju veću incidenciju u odnosu mlađu dobnu skupinu. Vrtoglavica, mučnina, povraćanje i tinitus su najčešći klinički simptomi. Dobra diferencijacija simptoma, kao i epidemiološke karakteristike bolesti značajno nam pomažu u postavljanju točne dijagnoze te pravilnom liječenju i rehabilitaciji.
Abstract (english) Objectives: The purpose of this study was to determine the frequency of individual peripheral vestibular disorders and the frequency of these disorders by age groups and genders. Additionally, this study aims to clarify which are the most common presenting symptoms among those patients.
Materials and methods: This retrospective study was conducted at the Otorhinolaryngology department of the University Hospital of Split, Croatia. Data was collected from January 2020. to January 2021. on patients who were diagnosed with peripheral vestibular disorder. Subjects were people between 23 and 82 years of age who were diagnosed with peripheral vestibular disorder by pure tone audiometry and vestibulometry at the otorinolaryngology department of University hospital of Split and were diagnosed with one of the following vestibular disorders: BPPV, vestibular neuronitis (VN), Meniere's disease (MB) and labyrinthitis. Subjects were divided into 3 age groups (23-44, 45-64, 65-82 years). The collected patient data included: pure tone audiometry and vestibulometry findings, age and gender data and data on clinical characteristics of peripheral vestibular disorders.
Results: Our study shows that BPPV is the most common form of peripheral vestibular disorders, which are far more frequent in women (68%) than in men (32%). Older age groups (45-64 and 65-82 years) have a higher incidence of peripheral vestibular disorders compared to the youngest age group (23-44 years). The incidence of BPPV (51%) and vestibular neuronitis (49%) in men is almost the same, while in the sample of women we found a higher incidence of BPPV (64%) compared to vestibular neuronitis (23%).
Conclusions: Peripheral vertigo is the most common vertigo in adulthood and among them the most common is BPPV. They are significantly more common in women. In addition, older age groups have a higher incidence compared to the younger age group. Dizziness, nausea, vomiting, and tinnitus are the most common clinical symptoms. Adequate differentiation of symptoms as well as epidemiological characteristics of the disease help us significantly to establish accurate diagnosis with proper treatment and rehabilitation.
Keywords
Vestibularne bolesti
Vrtoglavica
Keywords (english)
Vestibular Diseases
Vertigo
Language croatian
URN:NBN urn:nbn:hr:171:524914
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
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File origin Born digital
Access conditions Open access Embargo expiration date: 2022-07-30
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Created on 2021-07-30 11:37:04