Seltenere, aber klinisch relevante episodische Schwindelsyndrome

Becker-Bense, Sandra und Huppert, Doreen (2021): Seltenere, aber klinisch relevante episodische Schwindelsyndrome. In: Fortschritte der Neurologie Psychiatrie, Bd. 89, Nr. 5: S. 221-232

Abstract

The differential diagnosis of rare episodic vertigo syndromes can be a challenge in everyday clinical practice, especially if in the attack-free interval there are no or only a few specific neuro-ophthalmological or neuro-otological findings in routine laboratory and clinical examinations. These episodic vertigo syndromes may be caused by physiological reactions due to intersensory incongruences and congenital or acquired neuroanatomical/neurophysiological variants that may lead to vestibular excitation syndromes. In this overview, we focus on the following vestibular syndromes that are - in our opinion - clinically relevant: motion sickness, mal de debarquement syndrome, visual height intolerance, vestibular paroxysmia, cervical dizziness, episodic ataxia type II, and syndromes of a third mobile window such as superior canal dehiscence syndrome. The manifestation of vestibular excitation syndromes may range from mild physiological reactions to severe clinical pictures with significant limitations in daily life. They can manifest from childhood or adolescence through to old age, sometimes with variant symptomatology. With a targeted medical history taking and, if necessary, extended vestibular diagnostics in a specialized center, these syndromes can often be clearly identified and successfully treated.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0720-4299
• Sprache: Deutsch