{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:58:14Z","timestamp":1791241094681,"version":"4.1.0"},"reference-count":65,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die vestibul\u00e4re Migr\u00e4ne stellt eine h\u00e4ufige Ursache eines episodischen Schwank-\/Drehschwindels dar und betrifft bis zu 3% aller Personen. Charakteristische Symptome sind geh\u00e4uft auftretende (mind. 5 Attacken gefordert) Schwindelepisoden unterschiedlicher Dauer (5min bis 72h) von mindestens mittlerer Intensit\u00e4t in Begleitung von weiteren Migr\u00e4ne-typischen Beschwerden. Zur Diagnosestellung einer vestibul\u00e4ren Migr\u00e4ne sind eine (vorbestehende) Diagnose einer Migr\u00e4ne mit oder ohne Aura sowie das in mindestens jeder zweiten Schwindelattacke zeitgleiche Auftreten von Migr\u00e4nekopfschmerzen, visueller Aura oder Foto-\/Phonophobie Voraussetzung. Das Spektrum klinischer Pr\u00e4sentationen ist breit und reicht von spontanem, anhaltendem Schwindel \u00fcber isoliert positionsabh\u00e4ngigen Schwindel bis hin zu begleitender H\u00f6rminderung. Dementsprechend variieren auch die Differenzialdiagnosen und die damit einhergehenden Abkl\u00e4rungen stark in Abh\u00e4ngigkeit vom klinischen Beschwerdebild. Sowohl der gutartige Lagerungsschwindel als auch die Meni\u00e8re\u2019sche Krankheit und der akute Schlaganfall (bei Erstmanifestation) stellen wichtige abzugrenzende Entit\u00e4ten dar. In der diagnostischen Aufarbeitung finden sich in der Regel keine strukturellen Auff\u00e4lligkeiten (Magnetresonanztomografie und vestibul\u00e4r-apparative Testung normwertig), ein beweisender Test existiert nicht. Die Akuttherapie der vestibul\u00e4ren Migr\u00e4ne richtet sich nach derjenigen der Migr\u00e4ne mit\/ohne Aura, es sollte allerdings auf den Einsatz von Triptanen bei isolierten Schwindelepisoden verzichtet werden. Zur vorbeugenden Behandlung stellen Betablocker, Antidepressiva und Antiepileptika bew\u00e4hrte Ans\u00e4tze dar, die Wertigkeit von CGRP-Antagonisten und Botulinumtoxin A ist hingegen noch in Erforschung \u2013 erste Ergebnisse sind aber vielversprechend.<\/jats:p>","DOI":"10.1055\/a-2881-5957","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T23:06:16Z","timestamp":1782255976000},"page":"623-633","source":"Crossref","is-referenced-by-count":0,"title":["Diagnose und Therapie der vestibul\u00e4ren Migr\u00e4ne \u2013 aktuelle Entwicklungen und zuk\u00fcnftige Therapiestrategien"],"prefix":"10.1055","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6984-6958","authenticated-orcid":false,"given":"Alexander Andrea","family":"Tarnutzer","sequence":"additional","affiliation":[{"name":"Kantonsspital Baden AG, Switzerland","place":["Baden"],"department":["Neurologie"]},{"name":"Universit\u00e4t Z\u00fcrich, Switzerland","place":["Z\u00fcrich"],"department":["Medizinische Fakult\u00e4t"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Dlugaiczyk","sequence":"additional","affiliation":[{"name":"Universit\u00e4t Z\u00fcrich, Switzerland","place":["Z\u00fcrich"],"department":["Medizinische Fakult\u00e4t"]},{"name":"Universit\u00e4tsSpital Z\u00fcrich, Switzerland","place":["Z\u00fcrich"],"department":["Klinik f\u00fcr Ohren-, Nasen-, Hals- und Gesichtschirurgie"]},{"name":"Universit\u00e4tsSpital Z\u00fcrich, Switzerland","place":["Z\u00fcrich"],"department":["Interdisziplin\u00e4res Zentrum f\u00fcr Schwindel und neurologische Sehst\u00f6rungen"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1388","DOI":"10.1111\/j.1526-4610.2011.01970.x","article-title":"The point prevalence of dizziness or vertigo in migraine--and 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