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Ultima descărcare din IBN: 2024-01-19 00:01 |
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616.831-005-036]:618.2-071 (1) |
Neurologie. Neuropatologie. Sistem nervos (974) |
SM ISO690:2012 VASILIEVA, Maria, OGLINDĂ-CATIRĂU, Gabriela. Benign paroxysmal positional vertigo in pregnancy. case report. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 294. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.831-005-036]:618.2-071 | ||||||
Pag. 294-294 | ||||||
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Rezumat | ||||||
Introduction: Benign Paroxysmal Positional Vertigo (BPPV) is a disorder of peripheral vestibular system with a ratio of 2:1 in women to men. The association between BPPV and pregnancy is not clear. We suspect that hormonal changes can induce some types of BPPV. Aim: To analyze the risk factors in BPPV in pregnancy. Methods: We report a case of a pregnant 37-years old woman. BPPV were diagnosed for the first time in the 12 weeks of gestational age. Our patient was receiving Duphaston (Dydrogesterone) and bed rest to prevent abortion before the onset of symptoms of BPPV. From medical history: second gestation, first baby was born by cesarean section. Results: In the Emergency Department, she was diagnosed with first attack of BPPV and Epley maneuver was performed. One week ago, she was diagnosed with imminent miscarriage with retroplacental hematoma; Duphaston treatment was initiated. Prolonged rest bed is a risk factor for development of BPPV in pregnancy. Various theories on the involvement of hormonal changes in the pathophysiology of BPPV are discussed in the literature. Coban et al. link their clinical cases of BPPV in pregnancy with relatively low estrogen and high progesterone levels, during the late gestational weeks. Conclusion: We hypothesized that BPPV in pregnancy in our case is linked with prolonged bed resting and hormonal changes. The treatment of choice in BPPV in pregnancy is Epley maneuver. |
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Cuvinte-cheie Benign paroxysmal positional vertigo, pregnancy, Vertij paroxismal pozițional benign, sarcina |
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