Should We Look For Blood Parathormone in Patients with Vertigo?
Yıl: 2019 Cilt: 9 Sayı: 1 Sayfa Aralığı: 22 - 28 Metin Dili: İngilizce DOI: 10.5505/kjms.2019.24381 İndeks Tarihi: 20-05-2020
Should We Look For Blood Parathormone in Patients with Vertigo?
Öz: Aim: Though vertigo is a symptom which is defined by an individualas spinning of themselves or an object, it is generally definedby the patients as the sensation of falling, disequilibrium, dizzinessand fainting. The main problem on the patients is the determinationof the underlying illness. Most of vertigos have peripheral causesand benign paroxysmal positional vertigo takes the first place. It isfollowed by peripheral and central causes. Patients usually consultthe policlinics of Ear, Nose and Throat, internal medicine, neurologyin addition to emergency departments with balance disorders.These patients undergo examinations, screening methods, audiologyand balance tests and routine blood tests.Material and Method: In this study in which 397 patients whoconsulted the hospital with complaints of vertigo between 2011and 2017 evaluated retrospectively.Results: In our study, first of all peripheral causes and 44.8% of thesewere benign paroxysmal positional vertigo. Hyperparathyroidismwas detected in 4 (1%) of the cases in our patient groups that theonly complaint was dizziness and there were no other characteristicsin the examinations. Parathyroid adenoma was detected inthree of them and hyperplasia was detected in the other. In theones who had adenoma after parathyroidectomy and in the othercase after bisphosphonate treatment, both parathormone levelsdecreased to normal and vertigo complaints totally disappeared.Conclusion: It is recommended that parathormone values shouldbe taken into account in the blood tests during the process of diagnosisin vertigo patients.
Anahtar Kelime: Konular:
Vertigo Hastalarında Kanda Parathormon Bakmalı mıyız?
Öz: Amaç: Vertigo kişi tarafından etrafındaki objelerin veya kendisinin döndüğü şeklinde ifade edilen bir semptom olmasına karşın, hastalar tarafından genel olarak dengesizlik, sersemlik, düşme ve baygınlık hissi olarak tanımlanır. Hastalarda asıl sorun altta yatan hastalığın belirlenmesidir. Vertigoların çoğu periferik nedenlidir ve ilk sırada benign paroksimal pozisyonel vertigo yer alır. Bunu diğer periferik ve santral nedenler takip etmektedir. Hastalar denge sorunları nedeniyle akut dönemde çoğunlukla acil poliklinikler haricinde Kulak Burun Boğaz, iç hastalıkları, nöroloji polikliniklerine başvururlar. Bu hastalara muayene, görüntüleme yöntemleri, odyoloji ve denge testleri ile rutin kan testleri yapılmaktadır. Materyal ve Metot: Hastanemize 2011–2017 yılları arasında vertigo yakınması ile başvuran 397 hasta retrospektif olarak değerlendirildi. Bulgular: Çalışmamızda, ilk sırada periferik nedenler ve bunların başında da %44,8 oranında benign paroxysmal positional vertigo saptanmıştır. Hasta gruplarımızda tek yakınması baş dönmesi olan, diğer muayenelerinde özellik bulunmayan 4 (%1) olgumuzda hiperparotiroidi saptanmıştır. Bunların üçünde paratiroid adenomu, diğer olguda hiperplazi belirlenmiştir. Adenom saptananlarda paratiroidektomi sonrası, diğer olgumuzda bifosfonat tedavisi sonrası hem parathormon düzeyleri normale inmiş hem de vertigo yakınmaları tamamen kaybolmuştur. Sonuç: Vertigo hastalarında tanı aşamasında kan testlerinde parathormon değerlerine de bakılması tavsiye edilmektedir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | DEMIRBILEK N, evren c (2019). Should We Look For Blood Parathormone in Patients with Vertigo?. , 22 - 28. 10.5505/kjms.2019.24381 |
| Chicago | DEMIRBILEK NEVZAT,evren cenk Should We Look For Blood Parathormone in Patients with Vertigo?. (2019): 22 - 28. 10.5505/kjms.2019.24381 |
| MLA | DEMIRBILEK NEVZAT,evren cenk Should We Look For Blood Parathormone in Patients with Vertigo?. , 2019, ss.22 - 28. 10.5505/kjms.2019.24381 |
| AMA | DEMIRBILEK N,evren c Should We Look For Blood Parathormone in Patients with Vertigo?. . 2019; 22 - 28. 10.5505/kjms.2019.24381 |
| Vancouver | DEMIRBILEK N,evren c Should We Look For Blood Parathormone in Patients with Vertigo?. . 2019; 22 - 28. 10.5505/kjms.2019.24381 |
| IEEE | DEMIRBILEK N,evren c "Should We Look For Blood Parathormone in Patients with Vertigo?." , ss.22 - 28, 2019. 10.5505/kjms.2019.24381 |
| ISNAD | DEMIRBILEK, NEVZAT - evren, cenk. "Should We Look For Blood Parathormone in Patients with Vertigo?". (2019), 22-28. https://doi.org/10.5505/kjms.2019.24381 |
| APA | DEMIRBILEK N, evren c (2019). Should We Look For Blood Parathormone in Patients with Vertigo?. Kafkas Tıp Bilimleri Dergisi, 9(1), 22 - 28. 10.5505/kjms.2019.24381 |
| Chicago | DEMIRBILEK NEVZAT,evren cenk Should We Look For Blood Parathormone in Patients with Vertigo?. Kafkas Tıp Bilimleri Dergisi 9, no.1 (2019): 22 - 28. 10.5505/kjms.2019.24381 |
| MLA | DEMIRBILEK NEVZAT,evren cenk Should We Look For Blood Parathormone in Patients with Vertigo?. Kafkas Tıp Bilimleri Dergisi, vol.9, no.1, 2019, ss.22 - 28. 10.5505/kjms.2019.24381 |
| AMA | DEMIRBILEK N,evren c Should We Look For Blood Parathormone in Patients with Vertigo?. Kafkas Tıp Bilimleri Dergisi. 2019; 9(1): 22 - 28. 10.5505/kjms.2019.24381 |
| Vancouver | DEMIRBILEK N,evren c Should We Look For Blood Parathormone in Patients with Vertigo?. Kafkas Tıp Bilimleri Dergisi. 2019; 9(1): 22 - 28. 10.5505/kjms.2019.24381 |
| IEEE | DEMIRBILEK N,evren c "Should We Look For Blood Parathormone in Patients with Vertigo?." Kafkas Tıp Bilimleri Dergisi, 9, ss.22 - 28, 2019. 10.5505/kjms.2019.24381 |
| ISNAD | DEMIRBILEK, NEVZAT - evren, cenk. "Should We Look For Blood Parathormone in Patients with Vertigo?". Kafkas Tıp Bilimleri Dergisi 9/1 (2019), 22-28. https://doi.org/10.5505/kjms.2019.24381 |
