Vertigo pp 43-89 | Cite as

Periphere vestibuläre Schwindelformen

  • Thomas Brandt
  • Michael Strupp
  • Marianne Dieterich

Zusammenfassung

Funktionell lassen sich drei Formen peripherer vestibulärer Störungen mit typischen Symptomen und klinischen Zeichen differenzieren:
  • Beidseitiger peripherer vestibulärer Funktionsausfall (bilaterale Vesti-bulopathie). Leitsymptome sind Oszillopsien bei Kopfbewegungen (Ausfall des vestibulookulären Reflexes) sowie Gang- und Standunsicherheit. Letzere verstärken sich im Dunkeln und auf unebenem Untergrund (verminderte oder fehlende visuelle bzw. somatosensorische Informationen).

  • Akuter/subakuter einseitiger vestibulärer Funktionsausfall (Labyrinth und/oder Nervus vestibularis), der eine vestibuläre Tonusimbalance verursacht. Leitsymptome sind Drehschwindel (über Tage bis wenige Wochen), Übelkeit, Oszillopsien und gerichtete Fallneigung.

  • Inadäquate paroxysmale Reizphänomene des peripheren vestibulären Systems (Labyrinth, z.B. beim benignen peripheren paroxysmalen Lagerungsschwindel) oder des Nervus vestibularis, z. B. bei der Vestibula-risparoxysmie). Leitsymptome sind Attacken mit Dreh- oder Schwankschwindel.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • Thomas Brandt
    • 1
  • Michael Strupp
    • 1
  • Marianne Dieterich
    • 2
  1. 1.Neurologische Klinik und Poliklinik, Universitätsklinikum GroßhadernLudwig-Maximilians-Universität MünchenMünchenDeutschland
  2. 2.Neurologische UniversitätsklinikKlinikum der Johannes Gutenberg-Universität MainzMainzDeutschland

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