{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T16:14:10Z","timestamp":1783527250896,"version":"3.55.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ophthalmologie"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1007\/s00347-026-02469-x","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T17:39:07Z","timestamp":1782927547000},"page":"566-578","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Schwindel und Okulomotorikst\u00f6rungen: Diagnose, anatomische Zuordnung und Ursachen","Vertigo and oculomotor disorders: diagnosis, anatomical classification and etiology"],"prefix":"10.1007","volume":"123","author":[{"given":"Louisa","family":"Lehner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Strupp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"2469_CR1","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1007\/s11298-024-3897-5","volume":"21","author":"M Strupp","year":"2024","unstructured":"Strupp\u00a0M, Lehner\u00a0L, Goldschagg\u00a0N, Zwergal\u00a0A (2024) Wenn sich pl\u00f6tzlich alles dreht: H\u00e4ufige vestibul\u00e4re Ursachen hinter dem Leitsymptom Schwindel. CME 21:53\u201366","journal-title":"CME"},{"key":"2469_CR2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-78260-3","volume-title":"Vertigo and Dizziness: Common Complaints","author":"M Strupp","year":"2023","unstructured":"Strupp\u00a0M, Brandt\u00a0T, Dieterich\u00a0M (2023) Vertigo and Dizziness: Common Complaints. Springer Nature, London"},{"issue":"2","key":"2469_CR3","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1212\/WNL.0000000000000573","volume":"83","author":"AS Saber Tehrani","year":"2014","unstructured":"Saber Tehrani\u00a0AS, Kattah\u00a0JC, Mantokoudis\u00a0G, Pula\u00a0JH, Nair\u00a0D, Blitz\u00a0A et\u00a0al (2014) Small strokes causing severe vertigo: frequency of false-negative MRIs and nonlacunar mechanisms. Neurology 83(2):169\u2013173","journal-title":"Neurology"},{"issue":"3","key":"2469_CR4","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1007\/s00415-014-7614-2","volume":"262","author":"K H\u00fcfner","year":"2015","unstructured":"H\u00fcfner\u00a0K, Frenzel\u00a0C, Kremmyda\u00a0O, Adrion\u00a0C, Bardins\u00a0S, Glasauer\u00a0S et\u00a0al (2015) Esophoria or esotropia in adulthood: a sign of cerebellar dysfunction? J\u00a0Neurol 262(3):585\u2013592","journal-title":"J Neurol"},{"issue":"8","key":"2469_CR5","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000214861","volume":"106","author":"M Strupp","year":"2026","unstructured":"Strupp\u00a0M, Bhandari\u00a0A, Brandt\u00a0T, Halmagyi\u00a0MG, Kim\u00a0JS, Kingma\u00a0H et\u00a0al (2026) Benign Paroxysmal Positional Vertigo: The Case for Renaming It Peripheral Paroxysmal Positional Vertigo. Neurology 106(8):e214861","journal-title":"Neurology"},{"issue":"3","key":"2469_CR6","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1002\/ana.410330311","volume":"33","author":"M Dieterich","year":"1993","unstructured":"Dieterich\u00a0M, Brandt\u00a0T (1993) Ocular torsion and tilt of subjective visual vertical are sensitive brainstem signs. Ann Neurol 33(3):292\u2013299","journal-title":"Ann Neurol"},{"issue":"1","key":"2469_CR7","doi-asserted-by":"publisher","DOI":"10.1111\/ene.16066","volume":"31","author":"F Nikles","year":"2024","unstructured":"Nikles\u00a0F, Kerkeni\u00a0H, Zamaro\u00a0E, Korda\u00a0A, Wagner\u00a0F, Sauter\u00a0TC et\u00a0al (2024) Do monosymptomatic stroke patients with dizziness present a\u00a0vestibular syndrome without nystagmus? An underestimated entity. Eur J Neurol 31(1):e16066","journal-title":"Eur J Neurol"},{"issue":"3","key":"2469_CR8","doi-asserted-by":"publisher","first-page":"205","DOI":"10.3233\/VES-210169","volume":"32","author":"JS Kim","year":"2022","unstructured":"Kim\u00a0JS, Newman-Toker\u00a0DE, Kerber\u00a0KA, Jahn\u00a0K, Bertholon\u00a0P, Waterston\u00a0J et\u00a0al (2022) Vascular vertigo and dizziness: Diagnostic criteria:Consensus document of the committee for the classification of vestibular disorders of the B\u00e1r\u00e1ny society. Journal of Vestibular Research 32(3):205\u2013222","journal-title":"Journal of Vestibular Research"},{"issue":"6","key":"2469_CR9","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-025-13174-1","volume":"272","author":"N Ferri","year":"2025","unstructured":"Ferri\u00a0N, Bracci\u00a0A, Metta Franceschelli\u00a0G, Gnoli\u00a0G, Turolla\u00a0A, Pillastrini\u00a0P et\u00a0al (2025) Accuracy of video head impulse test in stroke diagnosis during acute vestibular syndrome: a systematic review with meta-analysis. J\u00a0Neurol 272(6):436","journal-title":"J Neurol"},{"issue":"11","key":"2469_CR10","doi-asserted-by":"publisher","first-page":"3504","DOI":"10.1161\/STROKEAHA.109.551234","volume":"40","author":"JC Kattah","year":"2009","unstructured":"Kattah\u00a0JC, Talkad\u00a0AV, Wang\u00a0DZ, Hsieh\u00a0YH, Newman-Toker\u00a0DE (2009) HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 40(11):3504\u20133510","journal-title":"Stroke"},{"issue":"7","key":"2469_CR11","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-025-13191-0","volume":"272","author":"H Hadzhikolev","year":"2025","unstructured":"Hadzhikolev\u00a0H, M\u00f6hwald\u00a0K, Jaufenthaler\u00a0P, Wuehr\u00a0M, Jahn\u00a0K, Zwergal\u00a0A (2025) Prospective quantitative evaluation of gait and stance in patients with acute vertigo and dizziness. J\u00a0Neurol 272(7):458","journal-title":"J Neurol"},{"issue":"11","key":"2469_CR12","doi-asserted-by":"publisher","first-page":"1186","DOI":"10.1055\/a-1525-0030","volume":"238","author":"ML Strupp","year":"2021","unstructured":"Strupp\u00a0ML, Straumann\u00a0D, Helmchen\u00a0C (2021) Nystagmus: Diagnosis, Topographic Anatomical Localization and Therapy. Klin Monbl Augenheilkd 238(11):1186\u20131195","journal-title":"Klin Monbl Augenheilkd"},{"key":"2469_CR13","doi-asserted-by":"crossref","unstructured":"Marcelli V, Giannoni B, Volpe G, Cavaliere M, Marcelli E, Faralli M, et\u00a0al. Horizontal head-shaking test: pathophysiological mechanisms and clinical interpretation. Frontiers in Neurology. 2026;Volume\u00a016 - 2025.","DOI":"10.3389\/fneur.2025.1735948"},{"issue":"8","key":"2469_CR14","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1001\/jamaneurol.2023.1408","volume":"80","author":"M Strupp","year":"2023","unstructured":"Strupp\u00a0M, Mandala\u00a0M, Vinck\u00a0AS, Van Breda\u00a0L, Salerni\u00a0L, Gerb\u00a0J et\u00a0al (2023) The Semont-Plus Maneuver or the Epley Maneuver in Posterior Canal Benign Paroxysmal Positional Vertigo: A Randomized Clinical Study. JAMA Neurol 80(8):798\u2013804","journal-title":"JAMA Neurol"},{"issue":"12","key":"2469_CR15","doi-asserted-by":"publisher","first-page":"4178","DOI":"10.1111\/ene.15044","volume":"28","author":"A Bhandari","year":"2021","unstructured":"Bhandari\u00a0A, Bhandari\u00a0R, Kingma\u00a0H, Zuma\u00a0EMF, Strupp\u00a0M (2021) Three-dimensional simulations of six treatment maneuvers for horizontal canal benign paroxysmal positional vertigo canalithiasis. Eur J Neurol 28(12):4178\u20134183","journal-title":"Eur J Neurol"},{"key":"2469_CR16","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.740599","volume":"12","author":"A Bhandari","year":"2021","unstructured":"Bhandari\u00a0A, Bhandari\u00a0R, Kingma\u00a0H, Strupp\u00a0M (2021) Diagnostic and Therapeutic Maneuvers for Anterior Canal BPPV Canalithiasis: Three-Dimensional Simulations. Front Neurol 12:740599","journal-title":"Front Neurol"},{"key":"2469_CR17","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.652573","volume":"12","author":"M Strupp","year":"2021","unstructured":"Strupp\u00a0M, Goldschagg\u00a0N, Vinck\u00a0AS, Bayer\u00a0O, Vandenbroeck\u00a0S, Salerni\u00a0L et\u00a0al (2021) BPPV: Comparison of the S\u00e9montPLUS With the S\u00e9mont Maneuver: A Prospective Randomized Trial. Front Neurol 12:652573","journal-title":"Front Neurol"},{"key":"2469_CR18","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2017.00141","volume":"8","author":"NK Macdonald","year":"2017","unstructured":"Macdonald\u00a0NK, Kaski\u00a0D, Saman\u00a0Y, Al-Shaikh Sulaiman\u00a0A, Anwer\u00a0A, Bamiou\u00a0DE (2017) Central Positional Nystagmus: A Systematic Literature Review. Front Neurol 8:141","journal-title":"Front Neurol"},{"issue":"5","key":"2469_CR19","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1055\/a-2192-7278","volume":"103","author":"K Feil","year":"2024","unstructured":"Feil\u00a0K, Rattay\u00a0TW, Adeyemi\u00a0AK, Goldschagg\u00a0N, Strupp\u00a0ML (2024) What\u2019s behind cerebellar dizziness? - News on diagnosis and therapy. Laryngorhinootologie 103(5):337\u2013343","journal-title":"Laryngorhinootologie"},{"issue":"3","key":"2469_CR20","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1007\/s12311-018-0992-8","volume":"18","author":"K Feil","year":"2019","unstructured":"Feil\u00a0K, Strobl\u00a0R, Schindler\u00a0A, Krafczyk\u00a0S, Goldschagg\u00a0N, Frenzel\u00a0C et\u00a0al (2019) What Is Behind Cerebellar Vertigo and Dizziness? Cerebellum 18(3):320\u2013332","journal-title":"Cerebellum"},{"issue":"6","key":"2469_CR21","doi-asserted-by":"publisher","first-page":"672","DOI":"10.1136\/jnnp.2007.126284","volume":"79","author":"JN Wagner","year":"2008","unstructured":"Wagner\u00a0JN, Glaser\u00a0M, Brandt\u00a0T, Strupp\u00a0M (2008) Downbeat nystagmus: aetiology and comorbidity in 117 patients. J\u00a0Neurol Neurosurg Psychiatry 79(6):672\u2013677","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"3","key":"2469_CR22","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1001\/archneur.1974.00490330035006","volume":"30","author":"DS Zee","year":"1974","unstructured":"Zee\u00a0DS, Friendlich\u00a0AR, Robinson\u00a0DA (1974) The mechanism of downbeat nystagmus. Arch Neurol 30(3):227\u2013237","journal-title":"Arch Neurol"},{"issue":"2","key":"2469_CR23","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1212\/01.wnl.0000194242.28018.d9","volume":"66","author":"R Kalla","year":"2006","unstructured":"Kalla\u00a0R, Deutschlander\u00a0A, Hufner\u00a0K, Stephan\u00a0T, Jahn\u00a0K, Glasauer\u00a0S et\u00a0al (2006) Detection of floccular hypometabolism in downbeat nystagmus by fMRI. Neurology 66(2):281\u2013283","journal-title":"Neurology"},{"issue":"3","key":"2469_CR24","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1007\/s12311-020-01113-x","volume":"19","author":"M Strupp","year":"2020","unstructured":"Strupp\u00a0M, Maul\u00a0S, Konte\u00a0B, Hartmann\u00a0AM, Giegling\u00a0I, Wollenteit\u00a0S et\u00a0al (2020) A Variation in FGF14 Is Associated with Downbeat Nystagmus in a Genome-Wide Association Study. Cerebellum 19(3):348\u2013357","journal-title":"Cerebellum"},{"key":"2469_CR25","doi-asserted-by":"publisher","DOI":"10.1016\/j.ebiom.2024.105076","volume":"102","author":"D Pellerin","year":"2024","unstructured":"Pellerin\u00a0D, Heindl\u00a0F, Wilke\u00a0C, Danzi\u00a0MC, Trasch\u00fctz\u00a0A, Ashton\u00a0C et\u00a0al (2024) GAA-FGF14 disease: defining its frequency, molecular basis, and 4\u2011aminopyridine response in a large downbeat nystagmus cohort. EBioMedicine 102:105076","journal-title":"EBioMedicine"},{"issue":"5","key":"2469_CR26","doi-asserted-by":"publisher","first-page":"2886","DOI":"10.1007\/s00415-024-12229-z","volume":"271","author":"D Pellerin","year":"2024","unstructured":"Pellerin\u00a0D, Heindl\u00a0F, Trasch\u00fctz\u00a0A, Rujescu\u00a0D, Hartmann\u00a0AM, Brais\u00a0B et\u00a0al (2024) RFC1 repeat expansions in downbeat nystagmus syndromes: frequency and phenotypic profile. J\u00a0Neurol 271(5):2886\u20132892","journal-title":"J Neurol"},{"issue":"5","key":"2469_CR27","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1111\/acem.14561","volume":"30","author":"VP Shah","year":"2023","unstructured":"Shah\u00a0VP, Oliveira\u00a0JESL, Farah\u00a0W, Seisa\u00a0M, Kara Balla\u00a0A, Christensen\u00a0A et\u00a0al (2023) Diagnostic accuracy of neuroimaging in emergency department patients with acute vertigo or dizziness: A systematic review and meta-analysis for the guidelines for reasonable and appropriate care in the emergency department. Acad Emerg Med 30(5):517\u2013530","journal-title":"Acad Emerg Med"}],"container-title":["Die Ophthalmologie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00347-026-02469-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00347-026-02469-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00347-026-02469-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:20:31Z","timestamp":1783524031000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00347-026-02469-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["2469"],"URL":"https:\/\/doi.org\/10.1007\/s00347-026-02469-x","relation":{},"ISSN":["2731-720X","2731-7218"],"issn-type":[{"value":"2731-720X","type":"print"},{"value":"2731-7218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"27 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Gem\u00e4\u00df den Richtlinien des Springer Medizin Verlags werden Autorinnen und Autoren sowie die Wissenschaftliche Leitung im Rahmen der Manuskripterstellung und Manuskriptfreigabe aufgefordert, eine vollst\u00e4ndige Erkl\u00e4rung zu ihren finanziellen und nichtfinanziellen Interessen abzugeben.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"L.\u00a0Lehner\n                      : A.\u00a0Finanzielle Interessen: 97.\u00a0Weiterbildungstag der bayerischen Nerven\u00e4rzte (Referentenhonorar), ZNS Tage K\u00f6ln 2026 (Referentenhonorar, Reise- und \u00dcbernachtungskosten), Weiterbildungstag der Jungen Neurologie 2025 (Reise- und \u00dcbernachtungskosten), DGN Summer School (Reisekosten). \u2013\u00a0B.\u00a0Nichtfinanzielle Interessen: angestellte Assistenz\u00e4rztin f\u00fcr Neurologie, 6.\u00a0Weiterbildungsjahr, Neurologische Klinik und Poliklinik, LMU Klinikum M\u00fcnchen | Mitgliedschaften: Deutsche Gesellschaft f\u00fcr Neurologie.\n                      M.\u00a0Strupp\n                      : A.\u00a0Finanzielle Interessen: Unterst\u00fctzung f\u00fcr klinische Studien von Decibel, U.S.A., Cure within Reach, U.S.A. und Heel, Deutschland. Vortragshonorare von Abbott, Auris Medical, Biogen, Eisai, Gr\u00fcnenthal, GSK, Henning Pharma, Interacoustics, J&J, MSD, NeuroUpdate, Otometrics, Pierre-Fabre, TEVA, UCB und Viatris. Mitherausgeber des Journal of Neurology, Herausgeber von Frontiers of Neuro-otology und Sektionseditor von F1000. M.\u00a0Strupp Vertreibt \u201eM-glasses\u201c und die \u201ePositional vertigo App\u201c. Er ist \u201eScientific founder\u201c, Investor und Aktion\u00e4r bei IntraBio.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Professor f\u00fcr Neurologie an der LMU M\u00fcnchen.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Autorinnen und Autoren"}},{"value":"Die vollst\u00e4ndige Erkl\u00e4rung zum Interessenkonflikt der Wissenschaftlichen Leitung finden Sie am Kurs der zertifizierten Fortbildung auf\n                      \n                      .","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Wissenschaftliche Leitung"}},{"value":"erkl\u00e4rt, dass f\u00fcr die Publikation dieser CME-Fortbildung keine Sponsorengelder an den Verlag flie\u00dfen.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}},{"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. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patient\/-innen zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern\/Vertreterinnen eine schriftliche Einwilligung vor.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}}]}}