{"id":19391,"date":"2026-09-25T15:10:39","date_gmt":"2026-09-25T13:10:39","guid":{"rendered":"https:\/\/ivrt.de\/?p=19391"},"modified":"2026-09-25T15:10:43","modified_gmt":"2026-09-25T13:10:43","slug":"bpls-efter-schaedels-hjerneskade-mange-tilfaelde-forbliver-uopdaget-uden-screening","status":"publish","type":"post","link":"https:\/\/ivrt.de\/da\/studien-evidenz\/bpls-nach-schaedel-hirn-trauma-viele-faelle-bleiben-ohne-screening-unentdeckt\/","title":{"rendered":"BPLS efter hoved-hjernekram: Mange tilf\u00e6lde forbliver uopdaget uden screening"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>For fagfolk:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En <a href=\"https:\/\/ivrt.de\/da\/svimmelhedssygdomme\/benign-paroksysmal-positionel-svimmelhed-oeresten-3\/\" data-type=\"post\" data-id=\"5936\">godartet paroxysmal positionel svimmelhed<\/a> (BPLS) kan efter en <a href=\"https:\/\/ivrt.de\/da\/svimmelhedssygdomme\/svimmelhed-efter-hovedtraume\/\" data-type=\"post\" data-id=\"7252\">Hoved-hjerneskade<\/a> Det opst\u00e5r. En nyere unders\u00f8gelse viser: I en station\u00e6r revhundeunders\u00f8gelse var BPLS almindeligt \u2013 og blev ofte ikke opdaget blot p\u00e5 baggrund af anamnesen.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcc4 Ho ACY, Wee SK. <em>Symptomatisk og asymptomatisk godartet paroksysmal posturalt vertigo identificeret under rehabilitering efter traumatisk hjerneskade hos indlagte patienter.<\/em> J Head Trauma Rehabil. 2026.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/42509599\/\" target=\"_blank\" rel=\"noopener\">Original studie p\u00e5 PubMed<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hvad blev der unders\u00f8gt?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">119 voksne efter hovedskade blev screenet for BPLS som led i station\u00e6r neurologisk rehabilitering.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hos <strong>109 personer<\/strong> var en p\u00e5lidelig unders\u00f8gelse mulig. Vigtigt: <a href=\"https:\/\/ivrt.de\/da\/svimmelhedssygdomme\/diagnostiske-tests-for-balanceforstyrrelser\/\" data-type=\"post\" data-id=\"8955\" target=\"_blank\" rel=\"noopener\">Opbevaringsdiagnostik <\/a>Skete uafh\u00e6ngigt af, om svimmelhed tidligere var blevet angivet.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u00e6sten hver anden unders\u00f8gte person havde BPLS<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hos <strong>49 ud af 109 patienter<\/strong> en BPLS er blevet diagnosticeret.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Det svarer til <strong>45 %<\/strong> den unders\u00f8gte rehabiliteringsstikpr\u00f8ve.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De mest ramte var:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Posterior forgang: <strong>65,3 %<\/strong><\/li>\n\n\n\n<li>Horisontal bagudg\u00e5ende str\u00f8mning: <strong>22,4 %<\/strong><\/li>\n\n\n\n<li>flere gangbroer: <strong>12,2 %<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Mange rapporterede ikke om svimmelhed f\u00f8r<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Is\u00e6r interessant: Kun <strong>19 af de 49 patienter med BPLS<\/strong> havde f\u00f8r unders\u00f8gelsen angivet svimmelhed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yderligere 13 bem\u00e6rkede klager f\u00f8rst under lagerkontrol. Ni viste en typisk lager-nystagmose, men rapporterede ikke om nogen subjektivt fornemmelse af svimmelhed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Det viser: <strong>BPLS kan forekomme efter en hovedskade, selvom der ikke er typiske svimmelhedssymptomer i anamnesen.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Behandlingen er normalt succesfuld<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Repositionerings\u00f8velserne fandt sted i <strong>95,9 %<\/strong> den p\u00e5g\u00e6ldende bliver vellykket.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hos <strong>73,5 %<\/strong> En enkelt behandlingssession var nok.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hvad betyder det for praksis?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Resultaterne taler for ikke kun at basere sig p\u00e5 svimmelhedsanmeldelser efter en hoved-hjernekirurgisk operation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Netop i station\u00e6r rehabilitering kan systematisk lagermedicinering hj\u00e6lpe med at opdage behandlingsmulige tilf\u00e6lde af BPLS, som ellers muligvis ville blive overset.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Vigtigt<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D\u00f8 <strong>45 % g\u00e6lder ikke for alle mennesker efter en hovedskade<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En udvalgt population blev unders\u00f8gt i en station\u00e6r neurologisk rehabilitering. Resultaterne kan derfor ikke direkte overf\u00f8res til alle patienter efter SHT eller hjernerystelse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Konklusion<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>BPLS forekom hyppigt i denne station\u00e6re SHT-stikpr\u00f8ve og var ofte ikke synlig p\u00e5 baggrund af anamnesen.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Samtidig kunne BPLS med succes behandle n\u00e6sten alle de ber\u00f8rte patienter.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\ud83d\udc49 Du interesserer dig for en grundformidlet efteruddannelse til <a href=\"https:\/\/ivrt.de\/da\/patientuddannelse\/vestibulaer-rehabiliteringsterapi-og-balance-traening-2\/\" data-type=\"post\" data-id=\"8932\" target=\"_blank\" rel=\"noreferrer noopener\">vestibul\u00e6r rehabiliteringsterapi<\/a><\/strong> <strong>Og vil du l\u00e6re mere om fundet og behandlingen af benign paroxysmal skizofreni?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aktuelle efteruddannelsestilbud og kursusdatoer kan findes i <strong><a href=\"https:\/\/ivrt.de\/da\/for-sundhedsfagligt-personale\/efteruddannelsessogning\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT-Efteruddannelsess\u00f8gning<\/a>.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>For patienter \u2013 enkelt forklaret<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Opbevaringssvig i tilf\u00e6lde af hoved-hjernerystelse<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Efter et <a href=\"https:\/\/ivrt.de\/da\/svimmelhedssygdomme\/svimmelhed-efter-hovedtraume\/\" data-type=\"post\" data-id=\"7252\">Hoved-hjerneskade<\/a> kan en <strong><a href=\"https:\/\/ivrt.de\/da\/svimmelhedssygdomme\/benign-paroksysmal-positionel-svimmelhed-oeresten-3\/\" data-type=\"post\" data-id=\"5936\">godartet paroxysmal positionel svimmelhed<\/a> (BPLS)<\/strong> Det er typisk korte svimmelhedstilf\u00e6lde ved bestemte bev\u00e6gelser af hovedet, f.eks. n\u00e5r man l\u00e6gger sig ned, rejser sig op eller drejer i sengen.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En ny unders\u00f8gelse viser: <strong>Ikke alle ber\u00f8rte personer rapporterer forud om svimmelhed.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Kilde<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ho ACY, Wee SK. <em>Symptomatisk og asymptomatisk godartet paroksysmal posturalt vertigo identificeret under rehabilitering efter traumatisk hjerneskade hos indlagte patienter.<\/em> J Head Trauma Rehabil. 2026.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hvad viste unders\u00f8gelsen?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I en station\u00e6r rehabiliteringsklinik blev 109 patienter unders\u00f8gt p\u00e5lideligt efter en hovedskade.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hos <strong>49 personer \u2013 alts\u00e5 45 \u2013 % blev konstateret at have BPLS.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Men: Kun <strong>19 af disse 49 personer<\/strong> havde tidligere angivet svimmelhed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nogle bem\u00e6rkede klager f\u00f8rst under unders\u00f8gelsen. Andre viste typiske \u00f8jenbev\u00e6gelser for BPLS, uden selv at opleve tydelig svaghed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Den gode nyhed<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">BPLS kan ofte behandles meget godt.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I studiet var repositionerings\u00f8velserne ved <strong>95,9 %<\/strong> Den ramte person blev succesfuldt behandlet. For n\u00e6sten 3\/4 var allerede \u00e9n behandlingssession tilstr\u00e6kkelig.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Vigtigt<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De 45 % betyder <strong>ikke<\/strong>, At n\u00e6sten hver anden person f\u00e5r BPLS efter en hjernerystelse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En s\u00e6rlig gruppe patienter blev unders\u00f8gt i en station\u00e6r neurologisk rehabilitering. Resultaterne kan derfor ikke overf\u00f8res til alle mennesker efter en hovedskade.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Konklusion<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Deprese kan forekomme efter en hovedskade, selvom der ikke tidligere er rapporteret om typisk depression.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En m\u00e5lrettet unders\u00f8gelse kan hj\u00e6lpe med at opdage behandlingsmulige \u00e5rsager<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83c\udfaf <strong>Vores specialuddannede IVRT\u00ae svimmelheds- og vestibul\u00e6rterapeuter<\/strong> st\u00f8tte:  <strong><a href=\"https:\/\/ivrt.de\/da\/for-patienter\/find-terapeut\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">S\u00f8gning efter IVRT-terapeut<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Ein benigner paroxysmaler Lagerungsschwindel (BPLS) kann nach einem Sch\u00e4del-Hirn-Trauma auftreten. Eine aktuelle Studie zeigt: In einer station\u00e4ren Rehastichprobe war BPLS h\u00e4ufig \u2013 und wurde \u00fcber die Anamnese allein oft nicht erkannt. \ud83d\udcc4 Ho ACY, Wee SK. Symptomatic and Asymptomatic Benign Paroxysmal Positional Vertigo Identified During Inpatient Traumatic Brain Injury Rehabilitation. J Head Trauma [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":19392,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":3,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[215],"tags":[],"class_list":["post-19391","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/posts\/19391","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/comments?post=19391"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/posts\/19391\/revisions"}],"predecessor-version":[{"id":19393,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/posts\/19391\/revisions\/19393"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/media\/19392"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/media?parent=19391"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/categories?post=19391"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/tags?post=19391"}],"curies":[{"name":"godt spillet","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}