Zusammenfassung
Die Kasuistik beschreibt einerseits den recht typischen, langen Leidensweg, andererseits die diagnostische Methodik zur Entdeckung einer vestibulären Paroxysmie durch neurovaskuläre Kompression als Genese von attackenweisem Schwindel und Tinnitus. Entscheidend ist primär die Anamnese: häufige, kurz dauernde gerichtete Schwindelattacken, gelegentlich begleitet von Tinnitus. Diese Schwindelattacken können versuchsweise in Analogie zur Trigeminusneuralgie mit Carbamazepin medikamentös behandelt werden bzw. bei Versagen dieser Therapieoption recht erfolgreich neurochirurgisch mit einer mikrovaskulären Dekompression.
Abstract
The diagnosis and treatment of vertigo are very common in ear nose and throat medicine and neurology. As our case report demonstrates, an interdisciplinary approach is often useful for finding the correct diagnosis. Diagnosing disabling positional vertigo now seems uncomplicated using special MRI. More important is the history of frequent, short-term vertigo, sometimes accompanied by tinnitus. In analogy to trigeminal neuralgia, treatment should be started with carbamazepine or similar drugs. If unsuccessful, microvascular decompression as a neurosurgical intervention is recommended.
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Reuter , W., Fetter, M. & Albert, F. Vestibuläre Paroxysmie. HNO 56, 421–424 (2008). https://doi.org/10.1007/s00106-006-1535-z
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DOI: https://doi.org/10.1007/s00106-006-1535-z