Periferik Vertigoda Tanısal Testler
Özet
Bu bölümde periferik vertigolu hastaların tanısal değerlendirilmesinde kullanılan temel klinik ve vestibüler testler ele alınmaktadır. Tanısal sürecin ilk ve en önemli basamağı olan ayrıntılı anamnez kapsamında semptomların zamanlaması, süresi, tetikleyicileri ve eşlik eden otolojik ve nörolojik bulguların değerlendirilmesi yer almaktadır. Odyolojik değerlendirmede saf ses ve konuşma odyometrisi ile immittans ölçümlerinin periferik vestibüler patolojilerin lokalizasyonuna ve izlemine katkısı vurgulanmaktadır. Vestibülo-oküler refleksin yüksek frekanslı değerlendirilmesini sağlayan vHIT’in yanı sıra sakküler, utriküler ve vestibüler sinir fonksiyonlarının incelenmesinde kullanılan cVEMP, oVEMP ve gelişmekte olan mVEMP yöntemleri ele alınmaktadır. VNG kapsamında okülomotor, pozisyonel ve kalorik testlerin klinik özellikleri ve sınırlılıkları açıklanmaktadır. Son olarak statik ve dinamik postürografinin postüral kontrolün objektif değerlendirilmesi, vestibüler fonksiyonun fonksiyonel etkilerinin ortaya konulması ve rehabilitasyon sonuçlarının izlenmesindeki rolü tartışılmaktadır. Bölüm, vestibüler testlerin anamnez ve klinik muayene ile birlikte, bütüncül ve multimodal bir yaklaşımla yorumlanmasının önemini vurgulamaktadır.
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