{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T02:30:01Z","timestamp":1791772201872,"version":"4.3.4"},"reference-count":60,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Schwindel und Gleichgewichtsst\u00f6rungen umfassen ein multisensorisches und interdisziplin\u00e4res Syndrom unterschiedlicher \u00c4tiologie und Pathogenese, wobei beim zerebell\u00e4ren Schwindel die Beschwerden durch die vestibulo-zerebell\u00e4ren, vestibulo-spinalen oder zerebell\u00e4ren Systeme verursacht werden. Der Begriff des zerebell\u00e4ren Schwindels umfasst eine heterogene Gruppe von St\u00f6rungen mit klinischen Anzeichen einer Kleinhirnfunktionsst\u00f6rung. Bei rund 10% der Patienten in einer Spezialambulanz f\u00fcr Schwindel und Gleichgewichtsst\u00f6rungen ist der zerebell\u00e4re Schwindel urs\u00e4chlich f\u00fcr die Vorstellung. Nach zeitlichem Verlauf k\u00f6nnen 3 Typen unterschieden werden: dauerhafte Beschwerden, wiederkehrende Episoden mit Schwindel und Gleichgewichtsst\u00f6rungen und ein akutes Auftreten der Beschwerden. Die h\u00e4ufigsten Diagnosen waren: degenerative Erkrankungen; heredit\u00e4re Formen und erworbene Formen. 81 % der Patienten mit einem zerebell\u00e4ren Schwindel leiden an dauerhaften, persistierenden Schwindelbeschwerden, 31 % an Schwindelattacken und 21 % sowohl an dauerhaften Beschwerden als auch an Attacken, w\u00e4hrend typische klinische zerebell\u00e4re Zeichen, u. a. Gang- und Extremit\u00e4tenataxien oder eine Dysarthrie seltener festgestellt wurden. Schl\u00fcssel zur Diagnose sind eine dezidierte, zielgerichtete Anamnese sowie eine gr\u00fcndliche klinische Untersuchung mit besonderem Augenmerk der Okulomotorik. Hinsichtlich der Untersuchung der Okulomotorik zeigten sich am h\u00e4ufigsten eine sakkadierte Blickfolge, ein Blickrichtungsnystagmus, Provokationsnystagmus, Reboundnystagmus, ein zentraler Fixationsnystagmus, am h\u00e4ufigsten der DBN (Downbeat Nystagmus) sowie Sakkadenst\u00f6rungen und einer Divergenzinsuffizienz. Die Untersuchung der Okulomotorik ist somit sehr sensitiv, um die Diagnose zu unterst\u00fctzen, jedoch nicht spezifisch in der Unterscheidung verschiedener Krankheits\u00e4tiologien. Apparative Untersuchungen mittels Posturografie und einer standardisierten Ganganalyse k\u00f6nnen die Diagnosestellung unterst\u00fctzen und zur Absch\u00e4tzung des Sturzrisikos sowie zur Quantifizierung des Verlaufs und m\u00f6glicher symptomatischer Behandlungseffekte beitragen. Patienten mit zerebell\u00e4rem Schwindel sollten eine multimodale Behandlung erhalten.<\/jats:p>","DOI":"10.1055\/a-2192-7278","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T23:55:46Z","timestamp":1700610946000},"page":"337-343","source":"Crossref","is-referenced-by-count":4,"title":["Zerebell\u00e4rer Schwindel, was steckt dahinter?"],"prefix":"10.1055","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4566-712X","authenticated-orcid":false,"given":"Katharina","family":"Feil","sequence":"additional","affiliation":[{"name":"Schwerpunkt neurovaskul\u00e4re Erkrankungen, Neurologische Universit\u00e4tsklinik, Universit\u00e4tsklinikum T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim W.","family":"Rattay","sequence":"additional","affiliation":[{"name":"Schwerpunkt neurodegenerative Erkrankungen, Neurologische Universit\u00e4tsklinik, Universit\u00e4tsklinikum T\u00fcbingen, 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