{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T10:34:23Z","timestamp":1782297263514,"version":"3.54.5"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T00:00:00Z","timestamp":1744761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T00:00:00Z","timestamp":1744761600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/501100006447","name":"University of Zurich","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006447","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Hintergrund<\/jats:title>\n            <jats:p>Schwindel ist eines der h\u00e4ufigsten Leitsymptome in der klinischen Praxis, die Differenzialdiagnose stellt oftmals eine Herausforderung dar.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ziel der Arbeit<\/jats:title>\n            <jats:p>Die vorliegende Arbeit soll praxisorientierte und evidenzbasierte Empfehlungen zur Erstdiagnostik und -therapie von Schwindelsyndromen vermitteln.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material und Methoden<\/jats:title>\n            <jats:p>Der Konsensus einer interdisziplin\u00e4ren Arbeitsgruppe im Nachgang an eine Umfrage unter Schweizer Prim\u00e4rversorger:innen und Spezialist:innen (HNO, Neurologie) zu Diagnostik und Therapie bei Schwindel sowie die Ergebnisse einer Literaturrecherche in PubMed bis Oktober 2024 werden pr\u00e4sentiert.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse und Schlussfolgerung<\/jats:title>\n            <jats:p>Eine strukturierte Anamnese und klinisch-neurootologische Untersuchung bilden die Grundlage f\u00fcr die Differenzialdiagnose der verschiedenen akuten (AVS) episodischen (EVS) und chronischen (CVS) vestibul\u00e4ren Syndrome (AVS: z.\u202fB. Schlaganfall oder akute unilaterale Vestibulopathie; EVS: z.\u202fB. benigner paroxysmaler Lagerungsschwindel [BPLS], M.\u00a0Meni\u00e8re, vestibul\u00e4re Migr\u00e4ne, Vestibularisparoxysmie; CVS: z.\u202fB. bilaterale Vestibulopathie, \u201epersistent postural perceptual dizziness\u201c). Der vorliegende Artikel enth\u00e4lt \u00dcbersichten zu (i.)\u00a0\u201ered flags\u201c f\u00fcr eine potenziell gef\u00e4hrliche Ursache bei Patient:innen mit akutem Schwindel\/Gangunsicherheit, (ii.)\u00a0essenziellen klinisch-neurootologischen Untersuchungen bei Schwindel, (iii.)\u00a0den Lagerungs- und Repositionsman\u00f6vern f\u00fcr BPLS der posterioren und lateralen Bogeng\u00e4nge und (iv.)\u00a0den wichtigsten therapeutischen Ans\u00e4tzen bei den o.\u202fg. vestibul\u00e4ren Syndromen sowie (v.)\u00a0die \u201eTop-10-Empfehlungen\u201c zu Anamnese, Diagnose und Therapie von Schwindelerkrankungen in der klinischen Praxis. Diese Zusammenstellung m\u00f6ge \u00c4rzt:innen unterschiedlicher Disziplinen als t\u00e4gliches \u201eVademecum\u201c bei der Erstdiagnose und -therapie von Schwindelerkrankungen dienen.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00106-025-01598-0","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T09:48:34Z","timestamp":1744796914000},"page":"461-473","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Diagnostik und Therapie bei Schwindel","Diagnosis and treatment of vertigo and dizziness"],"prefix":"10.1007","volume":"73","author":[{"given":"Alexander Andrea","family":"Tarnutzer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassen","family":"Kerkeni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzie","family":"Diener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Kalla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Candreia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato","family":"Piantanida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rapha\u00ebl","family":"Maire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antje","family":"Welge-L\u00fcssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joris","family":"Budweg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Zwergal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Dlugaiczyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,16]]},"reference":[{"key":"1598_CR1","doi-asserted-by":"publisher","first-page":"1254080","DOI":"10.3389\/fneur.2023.1254080","volume":"14","author":"A Zwergal","year":"2023","unstructured":"Zwergal\u00a0A, Mantokoudis\u00a0G, Heg\u00a0D, Kerkeni\u00a0H, Diener\u00a0S, Kalla\u00a0R et\u00a0al (2023) What is the current status of primary care in the diagnosis and treatment of patients with vertigo and dizziness in Switzerland? 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German version"],"short-title":[],"issued":{"date-parts":[[2025,4,16]]},"references-count":36,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["1598"],"URL":"https:\/\/doi.org\/10.1007\/s00106-025-01598-0","relation":{},"ISSN":["0017-6192","1433-0458"],"issn-type":[{"value":"0017-6192","type":"print"},{"value":"1433-0458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,16]]},"assertion":[{"value":"27 November 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 April 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 August 2025","order":3,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":4,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Die Originalversion des Beitrags wurde korrigiert: In der Tabelle\u00a03 zu diesem Artikel war der Eintrag in der zweiten Spalte unter der \u00dcberschrift \u201eMedikament\u00f6se Therapien\/Akutphase\/symptomatisch\u201c nicht korrekt.","order":5,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Er h\u00e4tte richtigerweise \u201eGgf. Antiemetika (Domperidon, Metoclopramid, Ondansetron) und\/oder Antivertiginosa (Cinnarizin\u00a0\u00b1\u00a0Dimenhydrinat) f\u00fcr max. 2\u20133 Tage, ggf. raffinierter Trockenextrakt aus Ginkgo-biloba-Bl\u00e4ttern (EGb\u00a0761) zur F\u00f6rderung der zentralen Adaptation [28,\u00a029]\u201c sein m\u00fcssen, anstelle von  \u201eGgf. Antiemetika (Domperidon, Metoclopramid, Ondansetron) und\/oder Antivertiginosa (Cinnarizin\u00a0\u00b1\u00a0Dimenhydrinat) f\u00fcr max. 2\u20133 Tage, ggf. raffinierter Trockenextrakt aus Ginkgo-biloba-Bl\u00e4ttern (EGb\u00a0716) zur F\u00f6rderung der zentralen Adaptation [28,\u00a029]\u201c.","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 September 2025","order":7,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Erratum","order":8,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Zu diesem Beitrag wurde ein Erratum ver\u00f6ffentlicht:","order":9,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s00106-025-01669-2","URL":"https:\/\/doi.org\/10.1007\/s00106-025-01669-2","order":10,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Es erfolgte eine finanzielle Unterst\u00fctzung durch die Schwabe Pharma AG (\u00dcbernahme der Kosten f\u00fcr die Erstellung der Abbildungen durch H\u202f+\u2009O communications; Vortragshonorare an einzelne Autor:innen im Rahmen eines Advisory Boards zur Pr\u00e4sentation der Studienergebnisse). Die Selektion des Inhalts des Leitfadens sowie das Schreiben des \u00dcbersichtsartikels erfolgte vollumf\u00e4nglich durch die Autor:innen. Der Inhalt entspricht der Meinung der Autor:innen, weder die Schwabe Pharma AG noch H\u202f+\u2009O communications hatten Einfluss auf den Inhalt. Es war kein Medical Writing involviert. A.A.\u00a0Tarnutzer: Finanzielle Interessen: Vortragshonorare von \u201eForum f\u00fcr medizinische Fortbildung\u201c (FomF), Diatec, Schwabe Pharma AG und Hennig Arzneimittel sowie Unterst\u00fctzung bei Reise- und \u00dcbernachtungskosten von Diatec, Schwabe Pharma AG und Hennig Arzneimittel. Nichtfinanzielle Interessen: Vorstandsmitglied bei der Schweizerischen Neurologischen Gesellschaft (SNG). H.\u00a0Kerkeni C.\u00a0Candreia, R.\u00a0Piantanida und A.\u00a0Welge-L\u00fcssen: Finanzielle Interessen: Vortragshonorar und Unterst\u00fctzung bei Reise- und \u00dcbernachtungskosten von Schwabe Pharma AG. S.\u00a0Diener, R.\u00a0Kalla, R.\u00a0Maire und J.\u00a0Budweg Finanzielle Interessen: Vortragshonorar von Schwabe Pharma AG. A.\u00a0Zwergal: Finanzielle Interessen: Forschungsf\u00f6rderung durch die Europ\u00e4ische Union (MSCA Projekt PROVIDE), \u201eCures within reach\u201c und den Innovationsfond des Gemeinsamen Bundesausschusses (Projekt \u201ePoiSe\u201c). Vortragshonorare von Schwabe Pharma AG, Pfizer und Astra Zeneca; Teilnahme an einem Advisory Board der Dr. Willmar Schwabe GmbH; Nichtfinanzielle Interessen: Sprecher der Kommission \u201eNeuroophthalmologie\/Neurootologie\u201c in der Deutschen Gesellschaft f\u00fcr Neurologie (DGN). und J.\u00a0Dlugaiczyk: Finanzielle Interessen: Vortragshonorare von \u201eForum f\u00fcr medizinische Fortbildung\u201c (FomF), Diatec, Schwabe Pharma AG und Hennig Arzneimittel sowie Unterst\u00fctzung bei Reise- und \u00dcbernachtungskosten von Diatec, Schwabe Pharma AG und Hennig Arzneimittel. Nichtfinanzielle Interessen: Vorstandsmitglied bei der Arbeitsgemeinschaft Deutschsprachiger Audiologen, Neurootologen und Otologen (ADANO) sowie der Prosper Meni\u00e8re Society; Editorial Board Member \u201eHNO\u201c, Review Editor \u201eFrontiers in Neurology\u201c.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}