BENIGN POZ�SYONEL VERT�GO VE SAFRA KESESi MOT�L�TES�

UZUNER, Nevzat; VARDAREL�, Erkan; G�C�YENER, Demet; �ZDEM�R, Gazi

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BENIGN POZ�SYONEL VERT�GO VE SAFRA KESESi MOT�L�TES� [T�rk Beyin Damar Hast Derg]

T�rk Beyin Damar Hast Derg. 1995; 1(2): 125-128

BENIGN POZ�SYONEL VERT�GO VE SAFRA KESESi MOT�L�TES�

Nevzat UZUNER¹, Erkan VARDAREL�¹, Demet G�C�YENER¹, Gazi �ZDEM�R¹
Osmangazi �niversitesi T�p Fak�ltesi N�roloji ve N�kleer T�p Anabilim Dallar�, Eski�ehir

Benign pozisyonel vertigo'lu (grup I) 14 hasta !!e sa�l�kl� 17 hastan�n (grup ll) safra kesesi motiliteleri, serum total kolesterol ve trigliserid seviyeleri kar��la�t�r�ld�. Ust abdominal ultrasonografi telkiki her iki grupta da normaldi. Safra kesesi kontraktilitesi kolesintigrafi ile de�erlendirildi. Ya�, cinsiyet, serum total kolesterol ve trigliserid seviyelerinin de�erlendirilmesinde her iki grup aras�nda anlaml� farkl�l�k bulunmad�. Grup I'de ejeksiyon periyodu 69.3 � 3.2 ve ejeksiyon h�z� 0.55 � 0.08 idi. Grup II'de bu de�erler s�ras�yla 58.7 � 2.3 ve 0.78 � 0.07 olarak bulundu. Heriki grup aras�nda belirgin farkl�l�k (p<0.05) saptand�. Azalm�� safra kesesi motilitesi safra ta�� olu�umunda �nemli rol oynar. Vertigolu hastalarda parasempatik aktivitenin bask�lanm�� oldu�u g�sterilmi� olup, bu da safra kesesinin kas�lmas�n� negatif y�nde etkilemekte ve ta� olu�umunu kolayla�t�rabilmekted�r. Benign pozisyonel verligo'nun safra kesesi ta�lar� ile birlikte bulunmas�n� bu nedene ba�lamaktay�z.

Anahtar Kelimeler: Benign pozisyon el vertigo, safra kesesi motilitesi, safra kesesi ta�lar�, otonomik sinir sistemi.

BENIGN POSITIONAL VERTIGO AND GALLBLADDER MOTILITY

Nevzat UZUNER¹, Erkan VARDAREL�¹, Demet G�C�YENER¹, Gazi �ZDEM�R¹
Eskisehir Osmangazi University, Faculty of Medicine, Departments of Neurology and Nuclear Medicine, Eskisehir, Turkey

Gallbladder motility, serum total cholesterol levels, and serum triglyserid levels were compared between fourteen patients with benign positional vertigo (group 1) and seventeen healthy subjects (group ll). Upper abdo�ninal ultrasonography were normal in both groups. Gallbladder motility was estimated by cholesintigraphy. No significant difference was found between both groups as assessment of age, sex, serum total cholesterol levels, and serum triglyserid levels. In group I, ejection period was 69.3 � 3.2, and ejection rate was 0.55 � 0.08. In group II (control group) these values were 58.7 � 2.3, and 0.78 � 0.07, respectively. There isa significant difference (p<0.05) between two groups. The diminished motility of gallbladder is played an important role in raising gallbladder stones. Autonomic nervous system that effects on the gallbladder motility is known to be impaired in vertiginous patients. The decreased parasympathetic adivity in vertiginous patients effects negatively on the contraclion of the gallbladder muscles. We concluded that benign positional vertigo is probably accompanied with gallbladder stones due to this cause.

Keywords: Benign positional vertigo, gallbladder motility, gallbladder stones, autonomic nervous system.

Nevzat UZUNER, Erkan VARDAREL�, Demet G�C�YENER, Gazi �ZDEM�R. BENIGN POSITIONAL VERTIGO AND GALLBLADDER MOTILITY. T�rk Beyin Damar Hast Derg. 1995; 1(2): 125-128
Makale Dili: T�rk�e

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BENIGN POZ�SYONEL VERT�GO VE SAFRA KESESi MOT�L�TES�

BENIGN POSITIONAL VERTIGO AND GALLBLADDER MOTILITY