{"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":"schaedel-travmasi-sonrasi-bpls-bircok-vakayi-tarama-olmadan-kesfedilmemis-birakiyor","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/bpls-nach-schaedel-hirn-trauma-viele-faelle-bleiben-ohne-screening-unentdeckt\/","title":{"rendered":"Ba\u015f ve beyin travmas\u0131 sonras\u0131 BPLS: Bir\u00e7ok vaka tarama yap\u0131lmadan tespit edilmiyor"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\">iyi huylu paroksismal pozisyonel vertigo<\/a> (BPLS) bir sonraki a\u015famada <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/kafa-travmasi-sonrasi-bas-doenmesi\/\" data-type=\"post\" data-id=\"7252\">Ba\u015f beyin travmas\u0131<\/a> Geli\u015fmektedir. Bir g\u00fcncel \u00e7al\u0131\u015fma g\u00f6steriyor ki, duruma g\u00f6re hastaneye yat\u0131r\u0131lan bir grup tav\u015fan \u00f6rne\u011finde BPLS s\u0131kl\u0131kla g\u00f6r\u00fcl\u00fcyordu ve yaln\u0131zca anamnez \u00fczerinden tespit edilemiyordu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcc4 Ho ACY, Wee SK. <em>Hasta Yatarak Travmatik Beyin Yaralanmas\u0131 Rehabilitasyonu S\u0131ras\u0131nda Semptomatik ve Asimptomatik Benign Paroksisal Pozisyonal Vertigo Belirlendi.<\/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\">PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ne incelendi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">119 yeti\u015fkin, kafa-beyin travmas\u0131 ge\u00e7iren hastalar, BPLS kapsam\u0131nda yerle\u015fik n\u00f6rolojik rehabilitasyon kapsam\u0131nda de\u011ferlendirildi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bei <strong>109 ki\u015fi<\/strong> G\u00fcvenilir bir inceleme m\u00fcmk\u00fcn olabilirdi. \u00d6nemli: <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\" target=\"_blank\" rel=\"noopener\">Depolama tan\u0131lama <\/a>\u00d6nceden ba\u015f d\u00f6nmesi belirtilmi\u015f olup olmad\u0131\u011f\u0131na bak\u0131lmaks\u0131z\u0131n ger\u00e7ekle\u015ftirildi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ara\u015ft\u0131r\u0131lan her ikinci ki\u015fide BPLS vard\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bei <strong>109 hastan\u0131n 49'u<\/strong> BPLS tan\u0131s\u0131 kondu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu, buna kar\u015f\u0131l\u0131k <strong>45 %<\/strong> taran\u0131lan reha \u00f6rne\u011fi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En s\u0131k etkilenenler:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>posterior arka kanal: <strong>65,3 %<\/strong><\/li>\n\n\n\n<li>Horizantal yay\u0131l\u0131m: <strong>22,4 %<\/strong><\/li>\n\n\n\n<li>Birka\u00e7 \u00e7\u0131k\u0131\u015f yolu: <strong>12,2 %<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bir\u00e7o\u011fu daha \u00f6nce ba\u015f d\u00f6nmesi ya\u015famad\u0131\u011f\u0131n\u0131 bildirmi\u015fti<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle ilgin\u00e7: Sadece <strong>49 BPLS hastas\u0131n\u0131n 19'u<\/strong> Ara\u015ft\u0131rma \u00f6ncesinde ba\u015f d\u00f6nmesi belirtmi\u015fti.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Di\u011fer 13 \u015fikayet ise depolama kontrol\u00fc s\u0131ras\u0131nda fark edildi. Onlardan dokuzu tipik depolama nistagmusu g\u00f6sterdi, ancak subjektif vertigo belirtisi g\u00f6stermedi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu da g\u00f6steriyor ki: <strong>BPLS, anabilimsel beyin travmas\u0131 sonras\u0131 ortaya \u00e7\u0131kabilir; ancak anamnezde tipik ba\u015f d\u00f6nmesi belirtileri bulunmuyorsa.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tedavi genellikle ba\u015far\u0131l\u0131d\u0131r<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reposisyon operasyonlar\u0131 <strong>95,9 %<\/strong> \u0130lgili ki\u015fiye ba\u015far\u0131l\u0131 bir \u015fekilde yard\u0131mc\u0131 olunmu\u015ftur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bei <strong>73,5 %<\/strong> Bir tedavi seans\u0131 bile yeterliydi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bu, uygulama i\u00e7in ne anlama geliyor?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bulgular, beyin-omurilik travmas\u0131 sonras\u0131 sadece ba\u015f d\u00f6nmesi semptomlar\u0131na dayanmak yerine ba\u015fka testler yap\u0131lmas\u0131 gerekti\u011fi y\u00f6n\u00fcnde i\u015faret ediyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle statik rehabilitasyonda sistematik depolama tan\u0131s\u0131, tedavi edilebilir BPLS vakalar\u0131n\u0131 tespit etmeye yard\u0131mc\u0131 olabilir; bu vakalar genellikle g\u00f6zden ka\u00e7\u0131r\u0131labiliyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u00d6nemli<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6l <strong>45 %, beyin-kafatas\u0131 travmas\u0131 ge\u00e7iren t\u00fcm insanlara uygulanmaz.<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir durakl\u0131 n\u00f6rolojik rehabilitasyon merkezinde se\u00e7ili bir pop\u00fclasyon incelendi. Bu nedenle sonu\u00e7lar SHT veya beyin sars\u0131nt\u0131s\u0131 ge\u00e7iren t\u00fcm hastalar \u00fczerinde do\u011frudan ge\u00e7erli de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sonu\u00e7<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>BPLS, bu sabit SHT \u00f6rneklemede s\u0131kl\u0131kla g\u00f6r\u00fclmekteydi ve \u00e7o\u011fu zaman anamnezle tespit edilemiyordu.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ayn\u0131 zamanda BPLS, neredeyse t\u00fcm hastalarla ba\u015far\u0131l\u0131 bir \u015fekilde tedavi edilebildi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><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><\/strong> <strong>Ve benign paroksismal depolama felci tan\u0131s\u0131 ve tedavisi hakk\u0131nda daha fazla bilgi edinmek mi istiyorsunuz?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">G\u00fcncel e\u011fitim tekliflerini ve kurs tarihlerini \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 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 basit\u00e7e a\u00e7\u0131kland\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ba\u015f beyin travmas\u0131 sonras\u0131 depolama hilesi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir sonraki <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/kafa-travmasi-sonrasi-bas-doenmesi\/\" data-type=\"post\" data-id=\"7252\">Ba\u015f beyin travmas\u0131<\/a> birine <strong><a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\">iyi huylu paroksismal pozisyonel vertigo<\/a> (BPLS)<\/strong> Bu belirtiler ortaya \u00e7\u0131kabilir. Tipik olarak, belirli ba\u015f hareketleri s\u0131ras\u0131nda k\u0131sa ba\u015f d\u00f6nmesi ataklar\u0131 g\u00f6r\u00fcl\u00fcr; \u00f6rne\u011fin, yatarken, aya\u011fa kalkarken veya yatakta d\u00f6nmekte.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir son d\u00f6nem \u00e7al\u0131\u015fmas\u0131 g\u00f6steriyor ki: <strong>Herkesin hissetti\u011fi hissi hissetmeyenler yoktur.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hangi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ho ACY, Wee SK. <em>Hasta Yatarak Travmatik Beyin Yaralanmas\u0131 Rehabilitasyonu S\u0131ras\u0131nda Semptomatik ve Asimptomatik Benign Paroksisal Pozisyonal Vertigo Belirlendi.<\/em> J Head Trauma Rehabil. 2026.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ara\u015ft\u0131rma neyi g\u00f6sterdi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Stajyer bir rehabilitasyon merkezinde 109 hasta, beyin-omurilik travmas\u0131 sonras\u0131 g\u00fcvenilir bir \u015fekilde de\u011ferlendirildi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bei <strong>49 ki\u015fi \u2013 yani 45 % ki\u015fi \u2013 BPLS tan\u0131s\u0131 kondu.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ama: Sadece <strong>Bu 49 ki\u015fiden 19'u<\/strong> \u00f6nceden ba\u015f d\u00f6nmesi belirtmi\u015fti.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131lar\u0131 incelemeden \u00f6nce \u015fikayetler bildirdi. Di\u011ferleri ise BPLS i\u00e7in tipik g\u00f6z hareketlerini g\u00f6sterdi; ancak kendileri i\u00e7in belirgin bir ba\u015f d\u00f6nmesi hissetmediler.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0130yi haber<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">BPLS genellikle \u00e7ok iyi tedavi edilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ara\u015ft\u0131rmada yeniden konumland\u0131rma giri\u015fimleri <strong>95,9 %<\/strong> Etkilenen ki\u015fi ba\u015far\u0131l\u0131 oldu. Neredeyse 3\/4'\u00fcnde bir tedavi seans\u0131 yeterliydi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u00d6nemli<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">45 % anlam\u0131n\u0131 ta\u015f\u0131yor <strong>Hay\u0131r<\/strong>, Bu, her ikinci insan\u0131n bir beyin travmas\u0131 ge\u00e7irdikten sonra BPLS tan\u0131s\u0131 ald\u0131\u011f\u0131 anlam\u0131na geliyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir duruma ba\u011fl\u0131 n\u00f6rolojik rehabilitasyon merkezinde tedavi g\u00f6ren \u00f6zel bir grup hasta incelendi. Bu nedenle bu bulgular t\u00fcm beyin travmas\u0131 ge\u00e7iren insanlara uygulanabilir de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sonu\u00e7<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Depresyon, kafa beyin travmas\u0131 sonras\u0131 da g\u00f6r\u00fclebilir; ancak daha \u00f6nce tipik bir depresyon belirtisi bulunmuyorsa.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hedefli bir ara\u015ft\u0131rma tedavi edilebilir nedenleri tespit etmeye yard\u0131mc\u0131 olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83c\udfaf <strong>\u00d6zel olarak e\u011fitilmi\u015f IVRT\u00ae ba\u015f d\u00f6nmesi ve vestib\u00fcler terapistlerimiz<\/strong> Destekleyin:  <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 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\/tr\/wp-json\/wp\/v2\/posts\/19391","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=19391"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/19391\/revisions"}],"predecessor-version":[{"id":19393,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/19391\/revisions\/19393"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/19392"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=19391"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=19391"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=19391"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}