{"id":13370,"date":"2025-05-28T17:57:48","date_gmt":"2025-05-28T15:57:48","guid":{"rendered":"https:\/\/ivrt.de\/?p=13370"},"modified":"2026-04-29T11:43:52","modified_gmt":"2026-04-29T09:43:52","slug":"akut-periferik-tek-tarafli-vestibulopati-vestibueler-noerit-sinirin-tamaminin-tutulmasi-durumunda-daha-koetue-prognoz","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/akute-periphere-einseitige-vestibulopathie-neuritis-vestibularis-schlechtere-prognose-bei-beteiligung-des-gesamten-nervs\/","title":{"rendered":"Akut periferik tek tarafl\u0131 vestibulopati (Vestib\u00fcler n\u00f6rinit): Sinirin tamam\u0131n\u0131n tutulmas\u0131nda daha k\u00f6t\u00fc prognoz"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6l <strong><a href=\"https:\/\/ivrt.de\/tr\/vestibueler-nevrit\/\" data-type=\"post\" data-id=\"7427\">Vestib\u00fcler nevrit<\/a><\/strong> akut perifere vertigo sendromlar\u0131n\u0131n en s\u0131k g\u00f6r\u00fclen nedenleri aras\u0131ndad\u0131r. \u00c7o\u011fu durumda sadece <strong>vestibular sinirin \u00fcst b\u00f6l\u00fcm\u00fc<\/strong> etkilenen (\u00c7evresel Etki De\u011ferlendirmesi). Yeni bir \u00e7al\u0131\u015fma <strong><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40419799\/\" target=\"_blank\" rel=\"noreferrer noopener\">Best ve ark. (2025)<\/a><\/strong> ancak hastalar\u0131n yakla\u015f\u0131k \u00fc\u00e7te birinde de <strong>alt k\u0131s\u0131m<\/strong> \u015fiddet ve uzun vadeli prognoz \u00fczerinde \u00f6nemli etkileri olacak \u015fekilde buna da (s+iUVP) dahildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Temel \u00e7al\u0131\u015fma sonu\u00e7lar\u0131:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>36<\/strong><strong>\u202f%<\/strong> 96 UVP hastas\u0131 kombine bir lezyon (s+iUVP) g\u00f6sterdi.<\/li>\n\n\n\n<li>Bu grup \u015funlar\u0131 g\u00f6sterdi:\n<ul class=\"wp-block-list\">\n<li>Daha g\u00fc\u00e7l\u00fc sapmas\u0131 <strong>s\u00fcjektif g\u00f6rsel dikey<\/strong><\/li>\n\n\n\n<li>Art\u0131r\u0131lm\u0131\u015f <strong>ok\u00fcler torsiyon<\/strong><\/li>\n\n\n\n<li>Daha y\u00fcksek oran <strong>patolojik Kafa \u0130mpuls Testi (HIT)<\/strong><\/li>\n\n\n\n<li>\u00d6nemli \u00f6l\u00e7\u00fcde azalt\u0131lm\u0131\u015f <strong>cVEMP genlikleri<\/strong> etkilenen tarafta<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Ben <strong>Uzun vadeli seyir (ortalama 4 y\u0131l)<\/strong> s+iUVP hastalar\u0131 daha y\u00fcksek de\u011ferler g\u00f6sterdi <strong>Kayg\u0131 ve psikolojik s\u0131k\u0131nt\u0131<\/strong> (Semptom Kontrol Listesi-90 R ve Vertigo Semptom \u00d6l\u00e7e\u011fi).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Klinik Yans\u0131malar:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">s+iUVP hastalar\u0131n\u0131n SVV, HIT ve cVEMP yard\u0131m\u0131yla erken te\u015fhisi, \u015fu ama\u00e7lar i\u00e7in esast\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>prognozu daha iyi de\u011ferlendirebilmek i\u00e7in<\/li>\n\n\n\n<li>hedefe y\u00f6nelik <a href=\"https:\/\/ivrt.de\/tr\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon<\/a> ba\u015flatmak<\/li>\n\n\n\n<li>psikosomatik ikincil sorunlar\u0131 erkenden tespit etmek<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>Vestib\u00fcler n\u00f6rit hakk\u0131nda daha fazla bilgi edinmek ister misiniz?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O zaman uygulamaya y\u00f6nelik olan\u0131m\u0131z\u0131 tavsiye ederiz <strong><a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\" data-type=\"page\" data-id=\"111\">IVRT\u00ae Ba\u015f d\u00f6nmesi ve Vestib\u00fcler Terapist E\u011fitimi<\/a> <\/strong>\u2013 g\u00fcncel ders i\u00e7erikleri, ay\u0131r\u0131c\u0131 tan\u0131 testleri ve uygulamaya y\u00f6nelik tedavi planlamas\u0131 ile.<\/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>Hastalar i\u00e7in \u2013 anla\u015f\u0131l\u0131r bir dille:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/ivrt.de\/tr\/vestibueler-nevrit\/\" data-type=\"post\" data-id=\"7427\">Vestib\u00fcler nevrit<\/a> \u2013 E\u011fer t\u00fcm denge siniri etkilenmi\u015fse<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ani d\u00f6nme sevgisi, bulant\u0131, terleme, y\u00fcr\u00fcrken dengesizlik \u2013 bu bir <strong>Vestib\u00fcler nevrit<\/strong> Bu, \u015funun bir iltihab\u0131d\u0131r: <strong>denge sinirinin<\/strong> i\u00e7 kulakta. Bir\u00e7ok insan iyile\u015fiyor \u2013 ancak herkes de\u011fil.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ara\u015ft\u0131rmac\u0131lar \u015funu ke\u015ffetti: <strong>E\u011fer t\u00fcm sinir etkilendiyse<\/strong> (sadece bir k\u0131sm\u0131 de\u011fil), \u015fikayetler genellikle daha \u015fiddetlidir ve insan\u0131n kendini tekrar g\u00fcvende hissetmesi daha uzun s\u00fcrer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bu nas\u0131l anla\u015f\u0131l\u0131r?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Do\u011frudan ba\u015flang\u0131\u00e7ta daha \u015fiddetli ba\u015f d\u00f6nmesi<\/li>\n\n\n\n<li>\u00d6zellikle karanl\u0131kta veya engebeli zeminde denge sorunlar\u0131<\/li>\n\n\n\n<li>Uzun s\u00fcreli y\u00fcr\u00fcme belirsizli\u011fi<\/li>\n\n\n\n<li>Haftalar veya aylar sonra bile daha y\u00fcksek anksiyete veya \u201esersemlik hissi\u201c riski<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ne yard\u0131mc\u0131 olur?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bir <strong>Uzman muayenesinde iyi \u015fanslar<\/strong>, sinirin ne kadar etkilendi\u011fini \u00f6\u011frenmek i\u00e7in<\/li>\n\n\n\n<li><strong>Hedeflenen <a href=\"https:\/\/ivrt.de\/tr\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon<\/a><\/strong> \u00f6zel e\u011fitimli terapistler ile<\/li>\n\n\n\n<li>Gerekti\u011finde: <strong>psikolojik destek<\/strong>, korkular veya belirsizlikler kal\u0131rsa<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>Yard\u0131m ar\u0131yor musunuz?<\/strong><br><br>Burada b\u00f6lgenizde \u00f6zel olarak e\u011fitilmi\u015f terapistleri bulabilirsiniz:<br><strong><a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\" data-type=\"page\" data-id=\"101\">IVRT\u00ae Terapist Arama<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sonu\u00e7:<\/strong><br>Akut tek tarafl\u0131 vestib\u00fcler fonksiyon bozuklu\u011funda denge sinirinin alt b\u00f6l\u00fcm\u00fcn\u00fcn ek olarak hasar g\u00f6rmesi, daha \u015fiddetli vestib\u00fcler bozuklu\u011fa yol a\u00e7m\u0131\u015f olup uzun s\u00fcreli semptomlar\u0131n tetikleyicisi olabilir. Bu hastalar\u0131n erken te\u015fhisi klinik seyri iyile\u015ftirebilir, iyile\u015fmeyi h\u0131zland\u0131rabilir ve ikincil psikosomatik \u015fikayetleri \u00f6nleyebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Die Neuritis vestibularis geh\u00f6rt zu den h\u00e4ufigsten Ursachen akuter peripherer Schwindelsyndrome. In den meisten F\u00e4llen ist ausschlie\u00dflich der superiore Anteil des Nervus vestibularis betroffen (sUVP). Eine neue Studie von Best et al. (2025) konnte jedoch zeigen, dass bei rund einem Drittel der Patient:innen auch der inferiore Anteil mit betroffen ist (s+iUVP) \u2013 mit [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18010,"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":770,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[215],"tags":[],"class_list":["post-13370","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13370","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=13370"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13370\/revisions"}],"predecessor-version":[{"id":18011,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13370\/revisions\/18011"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/18010"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=13370"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=13370"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=13370"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}