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Samenvatting pathologie - evenwichtsorgaan $3.25   Add to cart

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Samenvatting pathologie - evenwichtsorgaan

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  • September 12, 2022
  • 4
  • 2020/2021
  • Summary
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Wat:
Plots opkomende duizeligheids- of evenwichtsklachten.
Verstoring van endolymfe stroming
Prevalentie:
- 80% posterieur,
- 19% horizontaal,
- 1% anterieur
Oorzaak:
- Ongekend
- Post-traumatisch
- Incidentie neemt toe met de leeftijd 
bedlegerigheid
- Meer na doormaken van neuritis vestibularis en bij
patiënten met ziekte van Meniere
Symptomen:
- Plotseling optreden van kortdurige
draaiduizeligheid (vertigo: rotatoir)
- Geassocieerd met nausea en braken Benigne paroxysmale positionele vertigo
- Klachten vaker ’s nachts of bij het ontwaken, bij
plotse hoofdbewegingen
(BPPV)
Klinisch onderzoek:
- Anamnese
- Kno-onderzoek
- Evenwichtsonderzoek  verschillende manoeuvres
 Dix-Hallpikemanoeuvre: karakterestieke
nystagmus (wiebelogen)
o Ontstaat na een latentietijd van
enkele seconden
o Intensiteit vertoont een
crescendo-decrescendo verloop
o Houdt hooguit 40 seconden aan
o Is snel uitputbaar
o Overwegend rotatoir karakter
met de snelle fase gericht naar
de onderzoekstafel
 Supine roll test
Behandeling:
- GEEN medicatie
- Klachten verdwijnen meestal spontaan
- Bevrijdingsmanoeuvres:
 Epley
 Semont
- Herhaaldelijk uitloggen van de duizeligheid dmv
Brandt-Daroff oefeningen
- Uitdoving/habituatie <> recidief

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