{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T16:45:27Z","timestamp":1743266727745},"reference-count":81,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die 8 h\u00e4ufigsten Schwindelsyndrome liegen \u00fcber 70% aller Schwindelpr\u00e4sentationen zugrunde. Bei den akuten (meist einzeitigen) Schwindelsyndromen sind die akute unilaterale Vestibulopathie und der vestibul\u00e4re Schlaganfall von besonderer Bedeutung, bei den episodischen Schwindelerkrankungen der gutartige Lagerungsschwindel, der Morbus Meni\u00e8re und die vestibul\u00e4re Migr\u00e4ne und bei chronischem Schwindel die bilaterale Vestibulopathie\/Presbyvestibulopathie, der funktionelle Schwindel und der zerebell\u00e4re Schwindel. In der letzten Dekade wurden f\u00fcr die h\u00e4ufigsten Schwindelsyndrome international konsentierte diagnostische Kriterien und Krankheitsbezeichnungen erarbeitet, die einfach im klinischen Alltag angewendet werden k\u00f6nnen. Die diagnostischen Leitlinien beruhen \u00fcberwiegend auf einer gezielten Anamnese (Beginn, Dauer, Verlauf, Trigger, Begleitsymptome), klinischen Untersuchung und wenigen apparativen Verfahren zur Diagnosesicherung (vor allem mittels Videookulographie und Audiometrie). Die Therapie der h\u00e4ufigen Schwindelsyndrome basiert in der Regel auf einer Kombination aus physikalischen Verfahren (Lagerungsman\u00f6ver, multimodales Gleichgewichtstraining) und pharmakologischen Prinzipien (u.a. Kortikosteroide, Antiepileptika, Antidepressiva, Kaliumkanalblockern, plastizit\u00e4tsf\u00f6rdernde Medikamente). Allerdings fehlt meist eine hochwertige Evidenz aus prospektiven und kontrollierten Studien. In der klinischen Praxis lassen sich die h\u00e4ufigen Schwindelsyndrome oft effektiv behandeln, sodass eine Chronifizierung oder sekund\u00e4re Komorbidit\u00e4t (durch Immobilit\u00e4t, St\u00fcrze oder psychiatrische Erkrankungen wie Angst oder Depression) vermieden werden kann.<\/jats:p>","DOI":"10.1055\/a-1432-1849","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T22:51:43Z","timestamp":1618872703000},"page":"211-220","source":"Crossref","is-referenced-by-count":1,"title":["Aktuelles zu den h\u00e4ufigen Schwindelsyndromen: Diagnostik und Therapie"],"prefix":"10.1055","volume":"89","author":[{"given":"Andreas","family":"Zwergal","sequence":"additional","affiliation":[{"name":"LMU Klinikum, Neurologische Klinik und Deutsches Schwindel- und Gleichgewichtszentrum (DSGZ)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Dieterich","sequence":"additional","affiliation":[{"name":"LMU Klinikum, Neurologische Klinik und Deutsches Schwindel- und Gleichgewichtszentrum (DSGZ)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"ref1","first-page":"2021.","volume-title":"Vertigo \u2013 Leitsymptom Schwindel","author":"M Strupp","year":"2021","edition":"3. 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