Zusammenfassung
Synkopen sind ein pathogenetisch vielfältiges Krankheitsbild, das häufig einer interdisziplinären Abklärung bedarf. Neben kardiovaskulären sind auch neurologische Ursachen und Differenzialdiagnosen zu berücksichtigen. Insbesondere neurodegenerative Erkrankungen wie Morbus Parkinson oder Polyneuropathien können über eine Störung autonomer Reflexe eine Orthostaseintoleranz und Synkopen verursachen. Daneben fallen wichtige Differenzialdiagnosen der Synkopen wie Epilepsien, „drop attacks“ oder Durchblutungsstörungen im Basilarisstromgebiet in das neurologische Fachgebiet.
Abstract
Syncope is a pathogenetically diverse syndrome that often requires an interdisciplinary investigation. In addition to cardiovascular reasons of syncope neurological diseases and differential diagnoses have to be considered. In particular, neurodegenerative disorders, such as Parkinson’s disease or polyneuropathy may cause orthostatic intolerance and syncope due to a malfunction of autonomic reflexes. Furthermore, important differential diagnoses of syncope, such as epilepsy, drop attacks or circulatory disorders in the territory of the basilar artery are attributed to the neurological field.
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Interessenkonflikt. A. Bickel und J. Röther geben an, dass kein Interessenkonflikt besteht.
Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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Bickel, A., Röther, J. Synkope aus der Sicht des Neurologen. Herz 39, 443–448 (2014). https://doi.org/10.1007/s00059-014-4095-0
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DOI: https://doi.org/10.1007/s00059-014-4095-0
Schlüsselwörter
- Orthostaseintoleranz
- Differenzialdiagnose
- „Drop attacks“
- Neurodegenerative Erkrankung
- Autonome Neuropathie