Mal de Debarquement Sendromunda Sanal Gerçeklik ile Vestibüler Rehabilitasyon: Olgu Sunumu

Year 2024, , 282 - 284, 30.12.2024

Uğur Embiye Özgür , Hikmet Nur Ceran

https://doi.org/10.18678/dtfd.1510187

Abstract

Mal de débarquement sendromu (MdDS), özellikle deniz yolculuğundan sonra ortaya çıkan ve hareketin durmasının ardından dengesizlik ve sallanma hissi gibi belirtilerle karakterize edilen bir hastalıktır. Genellikle uzun deniz yolculuklarından sonra ortaya çıkmakla birlikte, uçak, tren veya araba yolculuklarından sonra da görülebilmektedir. MdDS'nin nedeni tam olarak bilinmemektedir, ancak beyindeki denge ve hareket algısını yöneten sistemlerde bir bozulma olduğu düşünülmektedir. Kesin bir tedavi yöntemi bulunmamakla birlikte, bazı durumlarda terapi ve ilaçlar belirtileri hafifletebilir. Bu vaka raporunun amacı, MdDS tanısı konulan 51 yaşında bir erkek hastanın tedavi sürecinde sanal gerçekliğin kullanılmasının başarısını göstermek ve böylece yeterince iyi tanınmayan MdDS'yi etkili bir şekilde yönetebilmek için klinisyenler arasındaki farkındalığı artırmaktır.

Keywords

Mal de Débarquement Sendromu, Baş Dönmesi, Sanal Gerçeklik, Vestibüler Rehabilitasyon

Virtual Reality in Vestibular Rehabilitation for Mal de Débarquement Syndrome: A Case Report

Abstract

Mal de débarquement syndrome (MdDS) is a condition characterized by symptoms of imbalance and a sensation of swaying, particularly after sea travel, that occur following the cessation of movement. It typically appears after long sea voyages but can also be seen after airplane, train, or car travel. The exact cause of MdDS is unknown, but it is thought to involve a disruption in the systems in the brain that govern balance and motion perception. While there is no definitive treatment, therapy, and medications can sometimes alleviate symptoms. The aim of this case report was to demonstrate the success of using virtual reality in the treatment process of a 51-year-old male patient diagnosed with MdDS, and thus to raise awareness among clinicians to effectively manage the not well-known MdDS.

Keywords

Mal de Débarquement Syndrome, Dizziness, Virtual Reality, Vestibular Rehabilitation

References

• Cha YH, Baloh RW, Cho C, Magnusson M, Song JJ, Strupp M, et al. Mal de débarquement syndrome diagnostic criteria: Consensus document of the classification committee of the Bárány society. J Vestib Res. 2020;30(5):285-93.
• Cha YH. Mal de debarquement. Semin Neurol. 2009;29(5):520-7.
• Schoenmaekers C, De Smet D, Deblieck C, Van Riel J, Zarowski A, Wuyts FL. Virtual reality application matches the most established treatment for Mal de debarquement syndrome: A non-inferiority, randomized, open clinical trial. Neurotherapeutics. 2024;21(5):e00390.
• Hain TC, Cherchi M. Mal de débarquement syndrome. Handb Clin Neurol. 2016;137:391-5.
• Schoenmaekers C, Jillings S, De Laet C, Zarowski A, Wuyts FL. Guideline for standardized approach in the treatment of the mal de debarquement syndrome. Front Neurol. 2024;15:1359116.
• Ramesh S, Ben-Dov T, April MM, Cho C. Mal de débarquement syndrome in children: a case series. J Pediatr. 2023;259:113435.
• Van Ombergen A, Van Rompaey V, Maes LK, Van de Heyning PH, Wuyts FL. Mal de debarquement syndrome: a systematic review. J Neurol. 2016;263(5):843-54.
• Cha YH, Brodsky J, Ishiyama G, Sabatti C, Baloh RW. Clinical features and associated syndromes of mal de debarquement. J Neurol. 2008;255(7):1038-44.
• Saha K, Cha YH. Mal de debarquement syndrome. Semin Neurol. 2020;40(1):160-4.
• Alghadir AH, Anwer S. Effects of vestibular rehabilitation in the management of a vestibular migraine: a review. Front Neurol. 2018;9:440.
• Chen PY, Hsieh WL, Wei SH, Kao CL. Interactive wiimote gaze stabilization exercise training system for patients with vestibular hypofunction. J Neuroeng Rehabil. 2012;9:77.
• McDonnell MN, Hillier SL. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. 2015;1(1):CD005397.
• Dai M, Cohen B, Smouha E, Cho C. Readaptation of the vestibulo-ocular reflex relieves the mal de debarquement syndrome. Front Neurol. 2014;5:124.
• Yakushin SB, Zink R, Clark BC, Liu C. Readaptation treatment of mal de debarquement syndrome with a virtual reality app: a pilot study. Front Neurol. 2020;11:814.
• Hoppes CW, Vernon M, Morrell RL, Whitney SL. Treatment of mal de debarquement syndrome in a computer-assisted rehabilitation environment. Mil Med. 2022;187(7-8):e1011-5.
• Memon SF, Khan AA, Mohiuddin O, Memon SA. Mal de debarquement syndrome: a rare entity. Cureus. 2020;12(2):e6837.