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Veränderungen des ZNS als Symptome wichtiger innerer Erkrankungen

CNS dysfunction as symptom of internal disease

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Zusammenfassung

In der internistischen Praxis bzw. Notaufnahme präsentieren sich häufig Patienten mit neurologischen Beschwerden oder Zeichen der veränderten Funktion des zentralen Nervensystems. Störungen des Bewusstseins und der Kognition, Kopfschmerzen, Schwindel, zerebrale Anfälle, Halbseitensyndrome und andere Störungen der Motorik haben neben spezifisch neurologischen Ursachen in bis zu 50% der Fälle internistische Erkrankungen als wesentliche Auslöser. Eine nach neurologischen Syndromen orientierte Analyse des klinischen Bilds erlaubt die differenzialdiagnostische Einordnung der Erkrankungen. Oft ist hier ein gemeinsames Vorgehen von Internist und Neurologe erforderlich.

Abstract

Patients with symptoms and signs of central nervous system dysfunction frequently present to outpatient clinics and emergency departments. Disturbances of consciousness and cognition, headache, vertigo, dizziness or light-headedness, seizures, hemiparesis or hemisensory deficits, and other motor dysfunctions may be due to diseases of internal medicine in up to 50% of cases apart from exclusively neurological diseases. A neurological syndrome oriented analysis of each clinical case allows the exact differential diagnosis of the causes of the disease. A combined approach of internal medicine physicians and neurologists is often warranted.

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Authors and Affiliations

  1. Neurologische Klinik, Katholisches Klinikum gGmbH Marienhof und Brüderhaus, Kardinal-Krementz-Straße 1–5, 56073, Koblenz, Deutschland

    J.C. Wöhrle

  2. Rheumatologie, Katholisches Klinikum gGmbH Marienhof und Brüderhaus, Koblenz, Deutschland

    A.E. Haas-Wöhrle

  3. Klinik und Poliklinik für Innere Medizin I, Universitätsklinik Regensburg, Regensburg, Deutschland

    U. Woenckhaus

Authors
  1. J.C. Wöhrle
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  2. A.E. Haas-Wöhrle
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  3. U. Woenckhaus
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Correspondence to J.C. Wöhrle.

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Wöhrle, J., Haas-Wöhrle, A. & Woenckhaus, U. Veränderungen des ZNS als Symptome wichtiger innerer Erkrankungen. Internist 51, 433–441 (2010). https://doi.org/10.1007/s00108-009-2450-7

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  • DOI: https://doi.org/10.1007/s00108-009-2450-7

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