{"id":17466,"date":"2026-01-26T16:17:31","date_gmt":"2026-01-26T15:17:31","guid":{"rendered":"https:\/\/ivrt.de\/?p=17466"},"modified":"2026-04-29T12:21:48","modified_gmt":"2026-04-29T10:21:48","slug":"vestibueler-migren-veya-meniere-hastaligi-lmu-calismasi-ayirt-etmeye-yardimci-olan-yedi-oezelligi-goesteriyor","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/vestibulaere-migraene-oder-morbus-meniere-lmu-studie-zeigt-sieben-merkmale-helfen-bei-der-unterscheidung\/","title":{"rendered":"Vestib\u00fcler Migren mi yoksa Meni\u00e8re Hastal\u0131\u011f\u0131 m\u0131? LMU \u00c7al\u0131\u015fmas\u0131 G\u00f6steriyor: Yedi \u00d6zellik Ay\u0131rt Etmeye Yard\u0131mc\u0131 Oluyor"},"content":{"rendered":"<p><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p>Vestib\u00fcler Migren (VM) ve Meni\u00e8re Hastal\u0131\u011f\u0131 (MD), tekrarlayan ba\u015f d\u00f6nmesi ataklar\u0131n\u0131n yayg\u0131n nedenleridir ve klinik olarak birbirinden ay\u0131rt edilmesi zordur. LMU \u00e7al\u0131\u015fmas\u0131, hangi \u00f6zelliklerin en iyi \u015fekilde ay\u0131rt etti\u011fini ve mevcut tan\u0131 kriterlerinin (ICVD) nerede yetersiz kald\u0131\u011f\u0131n\u0131 g\u00f6steriyor.<\/p>\n\n\n\n<p>\ud83d\udd17Huppert D, Grill E, Becker-Bense S, Zwergal A, Strobl R. Vestib\u00fcler migrende tan\u0131sal zorluklar - Meni\u00e8re hastal\u0131\u011f\u0131ndan klinik ayr\u0131m ve mevcut s\u0131n\u0131fland\u0131rma kriterleriyle uyumsuzluklar. J Neurol. 2025 A\u011fu 5;272(9):558.<\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40762827\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/strong><\/a><\/p>\n\n\n\n<p><strong>\u00c7al\u0131\u015fma tasar\u0131m\u0131:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yer: LMU M\u00fcnih (Alman Ba\u015f D\u00f6nmesi ve Denge Merkezi, DSGZ)<\/li>\n\n\n\n<li>Kat\u0131l\u0131mc\u0131lar: 276 hasta (188 VM, 88 MD)<\/li>\n\n\n\n<li>Y\u00f6ntemler: Anamnez, Odyometri, Kalorik, Video-Kafa \u0130mpuls Testi (vHIT), ok\u00fclomotor testler<\/li>\n\n\n\n<li>Ama\u00e7: VM ve MD'yi ay\u0131rt etmek i\u00e7in klinik ve enstr\u00fcmantal \u00f6zellikleri belirlemek<\/li>\n<\/ul>\n\n\n\n<p><strong>Temel Bulgular<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>VM: Kad\u0131nlarda daha s\u0131k g\u00f6r\u00fcl\u00fcr (72\u202f%), daha erken ba\u015flang\u0131\u00e7 (ortalama 40\u202fya\u015f)<\/li>\n\n\n\n<li>MD: erkeklerde daha s\u0131k g\u00f6r\u00fcl\u00fcr (49\u202f%), ba\u015flang\u0131c\u0131 daha ge\u00e7 olur (ortalama 50\u202fya\u015f)<\/li>\n\n\n\n<li>Meni\u00e8re: tipik d\u00f6nme vertigo, tinnitus, i\u015fitme sorunlar\u0131, bulant\u0131<\/li>\n\n\n\n<li>Vestib\u00fcler Migren: daha s\u0131k ba\u015f a\u011fr\u0131s\u0131, \u0131\u015f\u0131\u011fa duyarl\u0131l\u0131k, sersemlik hissi (veya dengesizlik hissi \/ sallant\u0131 vertigosu)<\/li>\n\n\n\n<li> Objektif testler: MD'de daha s\u0131k kalorik asimetriler ve daha d\u00fc\u015f\u00fck vHIT kazan\u00e7 de\u011ferleri g\u00f6r\u00fcl\u00fcr<\/li>\n\n\n\n<li>Kalorik-vHIT-Dissoziation (patolojik kalorik test, normal vHIT) Meni\u00e8re hastal\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fcr\u00fcr.<\/li>\n\n\n\n<li>Yedi temel kriter (86\u202f% do\u011frulu\u011fu): \u0130\u015fitme sorunlar\u0131, ya\u015f, kusma, kalorik testte yan fark\u0131, dengesizlik, kulak \u00e7\u0131nlamas\u0131, ba\u015f a\u011fr\u0131s\u0131 (a\u015fa\u011f\u0131daki \u015fekle bak\u0131n\u0131z)<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"696\" height=\"564\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2026\/01\/Wissensblog-14-text-1.png\" alt=\"\" class=\"wp-image-17469\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2026\/01\/Wissensblog-14-text-1.png 696w, https:\/\/ivrt.de\/wp-content\/uploads\/2026\/01\/Wissensblog-14-text-1-300x243.png 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2026\/01\/Wissensblog-14-text-1-15x12.png 15w\" sizes=\"(max-width: 696px) 100vw, 696px\" \/><\/figure>\n\n\n\n<p><strong>\u201e\u015e\u00fcpheli VM\u201c \u2013 Kriterler uymad\u0131\u011f\u0131nda<\/strong><\/p>\n\n\n\n<p>VM olgular\u0131n\u0131n yakla\u015f\u0131k \u00fc\u00e7te biri ICVD kriterlerini tam olarak kar\u015f\u0131lamam\u0131\u015f, ancak uzmanlar taraf\u0131ndan VM olarak s\u0131n\u0131fland\u0131r\u0131lm\u0131\u015ft\u0131r. Temel nedenler atipik ba\u015f a\u011fr\u0131s\u0131 formlar\u0131 (\u00f6rne\u011fin iki tarafl\u0131 veya bas\u0131n\u00e7 tarz\u0131nda a\u011fr\u0131), d\u00fc\u015f\u00fck atak say\u0131s\u0131, farkl\u0131 e\u015flik eden semptomlar veya hafif merkezi g\u00f6z hareketi bulgular\u0131yd\u0131.<\/p>\n\n\n\n<p><strong><strong>Klinik \u00f6nem<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Her ders kitab\u0131 resmi do\u011fru de\u011fildir \u2013 kat\u0131 kriterler yanl\u0131\u015f tan\u0131 konulmas\u0131na kolayca yol a\u00e7ar.<\/li>\n\n\n\n<li>Anamnez, kalorik, vHIT ve klinik g\u00f6zlemin kombinasyonu en iyi ayr\u0131m\u0131 sa\u011flar.<\/li>\n\n\n\n<li>\u201eTedavi gecikmelerini \u00f6nlemek i\u00e7in \u201c\u015e\u00fcpheli VM\u201c ciddiye al\u0131nmal\u0131d\u0131r.<\/li>\n<\/ul>\n\n\n\n<p><strong>Pratik \u0130\u00e7in Sonu\u00e7<\/strong><\/p>\n\n\n\n<p>Vestib\u00fcler migren ve Meni\u00e8re, az say\u0131da klinik ve enstr\u00fcmantal \u00f6zellik yard\u0131m\u0131yla g\u00fcvenilir bir \u015fekilde ay\u0131rt edilebilir. \u00d6nemli olan yap\u0131land\u0131r\u0131lm\u0131\u015f bir anamnez, kombine testler ve atipik seyirlere kar\u015f\u0131 a\u00e7\u0131k bir bak\u0131\u015f a\u00e7\u0131s\u0131d\u0131r.<\/p>\n\n\n\n<p><strong>\ud83d\udc49 Kapsaml\u0131 bir ileri e\u011fitime ilgi duyuyorsunuz: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\" target=\"_blank\" rel=\"noreferrer noopener\">vestib\u00fcler rehabilitasyon tedavisi<\/a> ve her iki rahats\u0131zl\u0131\u011f\u0131, ba\u015f d\u00f6nmesi hastalar\u0131na daha h\u0131zl\u0131 ve g\u00fcvenli bir \u015fekilde yard\u0131mc\u0131 olmak i\u00e7in nas\u0131l terap\u00f6tik olarak y\u00f6netebilece\u011fini ve tedavi edebilece\u011fini?<\/strong><\/p>\n\n\n\n<p>G\u00fcncel e\u011fitim tekliflerini \u015furada bulabilirsiniz: <strong><a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT E\u011fitim Arama<\/a>.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Hastalar i\u00e7in \u2013 basit\u00e7e a\u00e7\u0131kland\u0131<\/strong><\/p>\n\n\n\n<p><strong><strong><strong>Vestib\u00fcler Migren mi Meni\u00e8re m\u00fc? \u0130kisi Neden \u00c7o\u011funlukla Benzer Hissettiriyor \u2013 Ve Yine de Farkl\u0131lar<\/strong><\/strong><\/strong><\/p>\n\n\n\n<p>Tekrarlayan ba\u015f d\u00f6nmesi ata\u011f\u0131n\u0131n iki yayg\u0131n nedeni vestib\u00fcler migren ve Meni\u00e8re hastal\u0131\u011f\u0131d\u0131r. Her ikisi de benzer \u015fekilde seyredebilir; ancak farkl\u0131 nedenlerden kaynaklan\u0131rlar ve farkl\u0131 tedaviler gerektirirler.<br><br>\ud83d\udcc4 Huppert D, Grill E, Becker-Bense S, Zwergal A, Strobl R. Vestib\u00fcler migrende tan\u0131sal zorluklar - M\u00e9ni\u00e8re hastal\u0131\u011f\u0131ndan klinik ayr\u0131m ve mevcut s\u0131n\u0131fland\u0131rma kriterleriyle uyumsuzluklar. J Neurol. 2025 Aug 5;272(9):558. doi: 10.1007\/s00415-025-13291-x. PMID: 40762827; PMCID: PMC12325411.<\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40762827\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Orijinal \u00e7al\u0131\u015fmaya<\/a><\/p>\n\n\n\n<p><strong>Yeni \u00e7al\u0131\u015fma ne g\u00f6steriyor?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Meni\u00e8re: s\u0131k g\u00f6r\u00fclen d\u00f6nme vertigo, kulak \u00e7\u0131nlamas\u0131 ve i\u015fitme kayb\u0131<\/li>\n\n\n\n<li>Vestib\u00fcler Migren: genellikle ba\u015f a\u011fr\u0131s\u0131, \u0131\u015f\u0131\u011fa duyarl\u0131l\u0131k veya kafada bas\u0131n\u00e7 hissi<\/li>\n\n\n\n<li>Doktorlar, \u00f6zel testler (Kalorik, vHIT) sayesinde vakalar\u0131n \u2019s\u0131n\u0131 do\u011fru bir \u015fekilde ay\u0131rt edebildiler<\/li>\n<\/ul>\n\n\n\n<p>Baz\u0131 hastalar ders kitab\u0131 tan\u0131mlar\u0131na tam olarak uymaz. Tipik migren belirtileri eksik oldu\u011funda veya n\u00f6betler farkl\u0131 seyretti\u011finde uzmanlar, hen\u00fcz kesin olarak do\u011frulanmam\u0131\u015f ancak muhtemel bir vestib\u00fcler migren olan \u201e\u015f\u00fcpheli VM\u201cden bahseder.<\/p>\n\n\n\n<p><strong><strong>Bu senin i\u00e7in ne ifade ediyor?<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0130\u015fitme bozukluklar\u0131 veya tinnitus daha \u00e7ok Meniere'e, ba\u015f a\u011fr\u0131s\u0131 ve \u0131\u015f\u0131\u011fa duyarl\u0131l\u0131k ise vestib\u00fcler migrene i\u015faret eder.<\/li>\n\n\n\n<li>\u0130yi bir te\u015fhis genellikle birden fazla testten fazlas\u0131n\u0131 gerektirir.<\/li>\n\n\n\n<li>Kapsaml\u0131 bir inceleme zaman, yanl\u0131\u015f tedaviler ve belirsizlik tasarrufu sa\u011flar.<\/li>\n<\/ul>\n\n\n\n<p><strong><strong>Ne yapabilirim?<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Doktorunuza vestib\u00fcler testleri (\u00f6rn. vHIT veya kalorik test) sorun.<\/li>\n\n\n\n<li>Testler normal \u00e7\u0131kmasa bile: Uzmanla\u015fm\u0131\u015f bir ba\u015f d\u00f6nmesi merkezinde al\u0131nacak ikinci bir g\u00f6r\u00fc\u015f netlik sa\u011flayabilir.<\/li>\n<\/ul>\n\n\n\n<p>\ud83c\udfaf <strong>\u00d6zel olarak e\u011fitilmi\u015f IVRT\u00ae ba\u015f d\u00f6nmesi ve vestib\u00fcler terapistlerimiz<\/strong> Tan\u0131 sonras\u0131nda g\u00fcvenlik ve zindeli\u011fi yeniden kazanman\u0131z i\u00e7in size ki\u015fiselle\u015ftirilmi\u015f bir denge e\u011fitimi ile destek oluyoruz: <strong><a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT Terapist Arama<\/a><\/strong><\/p>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Vestibul\u00e4re Migr\u00e4ne (VM) und Morbus Meni\u00e8re (MD) sind h\u00e4ufige Ursachen wiederkehrender Schwindelattacken \u2013 und klinisch schwer zu unterscheiden. Die LMU-Studie zeigt, welche Merkmale am besten trennen \u2013 und wo die aktuellen Diagnosekriterien (ICVD) an ihre Grenzen sto\u00dfen. \ud83d\udd17Huppert D, Grill E, Becker-Bense S, Zwergal A, Strobl R. Diagnostic challenges in vestibular migraine-clinical differentiation [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18016,"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":594,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-17466","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\/17466","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=17466"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/17466\/revisions"}],"predecessor-version":[{"id":17470,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/17466\/revisions\/17470"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/18016"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=17466"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=17466"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=17466"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}