RESEARCH ARTICLE
Nobel Med 2008; 4(1): 17-21

A NEGLECTED REASON OF VERTIGO AND A NEW APPROACH TO THE PATIENT WITH VERTIGO: MYOFASCIAL PAIN SYNDROME

Ayşe Karan, Demirhan Dıraçoğlu, Burak Erdamar, Ayşegül Ellialtıoğlu, Tuncay Uluğ, Cihan Aksoy
ABSTRACT
Objective: It is not always possible to find an exact diagnosis and treatment for dizziness (non-rotatory vertigo) attacks of long duration. Myofascial Pain Syndrome (MPS) is a disease of the soft tissue which presents itself with severe pain localized to certain muscles and limitation of mobility caused by muscle spasms.
Aim: The aim of this study is to underline the importance of MPS of the clavicular division of the sternocleidomastoid muscle as an etiological cause in follow-up patients of dizziness (non-rotatory vertigo) of unexplained origin.
Method: 32 patients with myofascial pain syndrome after the detection of a trigger points at the clavicular division of the sternocleidomastoid muscle (bilateral in 23 cases, unilateral in 9 cases) and complaining of non-rotatory vertigo were studied. None of the patients exhibited any abnormality after the neuro-otological evaluation and audio-vestibular assesment. All of the patients received 10 sessions of superficial heat application on the sternocleidomastoid muscle then the affected muscle was stretched.
Results: Vertigo complaints of the 13 patients out of the 32 patients disappeared completely and 19 patients’ complaints decreased by 50%.
Conclusion: These results have shown us that myofascial pain syndrome should be kept in mind for dizziness etiology and should be investigated clinically. Based on the observation that this issue has not come up and has not received attention among the literature, this study has been regarded as a preliminary study and it has been concluded that the role of myofascial pain syndrome in the etiology of vertigo should be investigated with controlled, long term patient follow up studies.
Keywords
Dizziness Myofascial pain syndrome Sternocleidomastoid muscle

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  • Pubmed Style
    Ayşe Karan, Demirhan Dıraçoğlu, Burak Erdamar, Ayşegül Ellialtıoğlu, Tuncay Uluğ, Cihan Aksoy. [A NEGLECTED REASON OF VERTIGO AND A NEW APPROACH TO THE PATIENT WITH VERTIGO: MYOFASCIAL PAIN SYNDROME ]. Nobel Med 2008; 4(1): 17-21, English.
  • Web Style
    Ayşe Karan, Demirhan Dıraçoğlu, Burak Erdamar, Ayşegül Ellialtıoğlu, Tuncay Uluğ, Cihan Aksoy. [A NEGLECTED REASON OF VERTIGO AND A NEW APPROACH TO THE PATIENT WITH VERTIGO: MYOFASCIAL PAIN SYNDROME ]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], English.
  • AMA (American Medical Association) Style
    Ayşe Karan, Demirhan Dıraçoğlu, Burak Erdamar, Ayşegül Ellialtıoğlu, Tuncay Uluğ, Cihan Aksoy. [A NEGLECTED REASON OF VERTIGO AND A NEW APPROACH TO THE PATIENT WITH VERTIGO: MYOFASCIAL PAIN SYNDROME ]. Nobel Med 2008; 4(1): 17-21, English.
  • Vancouver/ICMJE Style
    Ayşe Karan, Demirhan Dıraçoğlu, Burak Erdamar, Ayşegül Ellialtıoğlu, Tuncay Uluğ, Cihan Aksoy. [A NEGLECTED REASON OF VERTIGO AND A NEW APPROACH TO THE PATIENT WITH VERTIGO: MYOFASCIAL PAIN SYNDROME ]. Nobel Med (2008); 4(1): 17-21, [cited Mayıs 24, 2021], English.
  • Harvard Style
    Ayşe Karan, Demirhan Dıraçoğlu, Burak Erdamar, Ayşegül Ellialtıoğlu, Tuncay Uluğ, Cihan Aksoy. (2008) [A NEGLECTED REASON OF VERTIGO AND A NEW APPROACH TO THE PATIENT WITH VERTIGO: MYOFASCIAL PAIN SYNDROME ]. Nobel Med, 4(1): 17-21, English.