• Sonuç bulunamadı

INVENTORY, DHI):

7. SONUÇ VE ÖNERİLER:

Vestibüler migren tanılı hastalarda vestibüler rehabilitasyonun etkinliği ile ilgili çalışmamızda aşağıdaki sonuçlar elde edilmiştir.

1. VM orta yaş kadın cinsiyetini sıkılıkla etkilemektedir.

2. VM de vestibüler semptomlara eşlik eden diğer semptomlar çoğunlukla fotofobi, fonofobi, bulantı, kulakta dolgunluk hissi ve tinnitus olarak bulunmuştur. Daha az oranda vizüel aura, işitme kaybı ve kulak ağrısı eşlik edebilir.

3. ID migren skalası vestibüler migrenli hastalarda % 90’ nın üzerinde doğrulanmıştır. 4. Vestibüler rehabilitasyon vestibüler migrenli hastalarda baş ağrısı ve baş dönmesi atak

sıklık, süre ve şiddetlerinde azalma sağlamaktadır. Bu azalma baş dönmesi atak sıklık, süre ve şiddeti üzerine etkindir. Ancak baş ağrısı üzerine aynı oranda olumlu etki yapmamaktadır.

5. Vestibüler semptomları ön planda olan hastalarda tek başına VR tedavisi uygulanabilir.

6. Tek başına farmakolojik migren proflaksisi tedavisi vestibüler semptomların sıklık, süre ve şiddeti ile postürografi üzerine VR kadar etkili değildir.

7. VR ile birlikte farmakolojik ilaç kullanımı durumunda hem baş ağrısı hem baş dönmesi semptomlarının sıklık, süre ve şiddetleri üzerine olumlu etki sağlanmaktadır. 8. Hem baş ağrısı hem baş dönmesi yakınmaları olan hastalarda VR tedavisi ile birlikte

migren proflaksisi tedavisinin kombine edilmesi düşünülmelidir.

9. VM hastaların tariflediği vertigo tipi çoğunlukla spontan tip ardından pozisyonel tip olarak izlenmektedir.

10. VM hastalarında kalorik test ve odyometri incelemeleri çoğunlukla normaldir, ancak bir kısım hastada bu testlerde anormallik izlenebilir. Kalorik test ve odyometrinin anormal sonuçları VM tanısını dışlatmaz.

11. ABC ve DHI skalaları VM tedavisinde vestibüler semptomların izlemi için kullanılabilir.

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