Zusammenfassung
Schwindel gehört zu den häufigsten Leitsymptomen in der ärztlichen Praxis und zu den zehn häufigsten Gründen für eine neurologische Untersuchung. Epidemiologische Daten zu Schwindel und insbesondere zu Schwindel vestibulärer Genese sind für evidenzbasierte diagnostische Entscheidungen notwendig, können zu einem besseren Verständnis pathophysiologischer Zusammenhänge beitragen und dienen der Beurteilung der medizinischen Versorgungssituation. Der vorliegende Beitrag beschäftigt sich mit der Epidemiologie des Symptoms Schwindel insgesamt, des vestibulären Schwindels und vier vestibulärer Schwindelerkrankungen: benigner paroxysmaler Lagerungsschwindel, vestibuläre Migräne, Neuritis vestibularis und Morbus Menière.
Summary
Dizziness and vertigo rank among the most common symptoms in medical practice and belong to the 10 most common reasons for a neurological examination. Epidemiological data on dizziness, vertigo and underlying specific disorders of vestibular origin are useful for clinical decision making, may contribute to a better understanding of disease mechanisms and help evaluate the state of patient care. This article gives an overview on the epidemiology of dizziness/vertigo and of four specific vestibular disorders: benign paroxysmal positional vertigo, vestibular migraine, vestibular neuritis and Menière’s disease.
Literatur
Baloh RW, Honrubia V, Jacobson K (1987) Benign positional vertigo. Clinical and oculographic features in 240 cases. J Neurol 37:371–378
Best C, Eckhardt-Henn A, Tschan R et al (2009) Psychiatric morbidity and comorbidity in different vestibular vertigo syndromes: Results of a prospective longitudinal study over one year. J Neurol 256:58–65
Brandt T (2004) A chameleon among the episodic vertigo syndromes: ‚migrainous vertigo‘ or ‚vestibular migraine’. Cephalalgia 24:81–82
Brandt T, Huppert D, Hecht J et al (2006) Benign paroxysmal positioning vertigo: A long-term follow-up (6–17 years) of 125 patients. Acta Otolaryngol 126:160–163
Cha YH, Brodsky J, Ishiyama G et al (2007) The relevance of migraine in patients with Ménière’s disease. Acta Otolaryngol 127:1241–1245
Dieterich M, Brandt T (1999) Episodic vertigo related to migraine (90 cases): vestibular migraine? J Neurol 246:883–892
Garrigues HP, Andres C, Arbaizar A et al (2008) Epidemiological aspects of vertigo in the general population of the Autonomic Region of Valencia, Spain. Acta Otolaryngol 128:43–47
Godemann F, Siefert K, Hantschke-Brüggemann M et al (2005) What accounts for vertigo one year after neuritis vestibularis – anxiety or a dysfunctional vestibular organ? J Psychiatr Res 39:529–534
Guilemany JM, Martinez P, Prades E et al (2004) Clinical and epidemiological study of vertigo at an outpatient clinic. Acta Otolaryngol 124:49–52
Hannaford PC, Simpson JA, Bisset AF et al (2005) The prevalence of ear, nose and throat problems in the community: results from a national cross-sectional postal survey in Scotland. Fam Pract 22:227–233
Havia M, Kentala E, Pyykkö I (2005) Prevalence of Menière’s disease in general population of Southern Finland. Otolaryngol Head Neck Surg 133:762–768
Huppert D, Strupp M, Theil D et al (2006) Low recurrence rate of vestibular neuritis: a long-term follow-up. J Neurol 67:1870–1871
Karlberg M, Hall K, Quickert N et al (2000) What inner ear diseases cause benign paroxysmal positional vertigo? Acta Otolaryngol 120:380–385
Katsarkas A (1999) Benign paroxysmal positional vertigo (BPPV): idiopathic versus post-traumatic. Acta Otolaryngol 119:745–749
Kerber KA, Brown DI, Lisabeth LD et al (2006) Stroke among patients with dizziness, vertigo, and imbalance in the emergency department: a population-based study. Stroke 37:2484–2487
Kerber KA, Meurer WJ, West BT et al (2008) Dizziness presentations in U.S. emergency departments, 1995–2004. Acad Emerg Med 15:744–750
Kotimäki J, Sorri M, Aantaa E et al (1999) Prevalence of Meniere disease in Finland. Laryngoscope 109:748–753
Kroenke K, Mangelsdorff AD (1989) Common symptoms in ambulatory care: incidence, evaluation, therapy and outcome. Am J Med 86:262–266
Kroenke K, Price RK (1993) Symptoms in the community. Prevalence, classification and psychiatric comorbidity. Arch Int Med 153:2474–2480
Kruschinski C, Kersting M, Breull A et al (2008) Frequency of dizziness-related diagnoses and prescriptions in a general practice database. Z Evid Fortbild Qual Gesundhwes 102:313–319
Monzani D, Casolari L, Guidetti G et al (2001) Psychological distress and disability in patients with vertigo. J Psychosom Res 50:319–323
Neuhauser H, Leopold M, Von Brevern M et al (2001) The interrelations of migraine, vertigo and migrainous vertigo. J Neurol 56:436–441
Neuhauser HK, Radtke A, Von Brevern M et al (2006) Migrainous vertigo. Prevalence and impact on quality of life. J Neurol 67:1028–1033
Neuhauser HK, Radtke A, Von Brevern M et al (2008) Burden of dizziness and vertigo in the community. Arch Intern Med 168:2118–2124
Neuhauser HK, Von Brevern M, Radtke A et al (2005) Epidemiology of vestibular vertigo: a neurotological survey of the general population. J Neurol 65:898–904
Radtke A, Lempert T, Gresty MA et al (2002) Migraine and Meniere’s disease: is there a link? J Neurol 59:1700–1704
Rathore SS, Hinn AR, Cooper LS et al (2002) Characterization of incident stroke signs and symptoms: findings from the atherosclerosis risk in communities study. Stroke 33:2718–2721
Schappert SM, Nelson C (1999) National Ambulatory Medical Care Survey, 1995–96 Summary. National Center for Health Statistics. Vital Health Stat 142:1–122
Sloane P, Blazer D, George LK (1989) Dizziness in a community elderly population. J Am Geriatr Soc 37:101–108
Vibert D, Sans A, Kompis M et al (2008) Ultrastructural changes in otoconia of osteoporotic rats. Audiol Neurootol 13:293–301
Von Brevern M, Radtke A, Lezius F et al (2007) Epidemiology of benign paroxysmal positional vertigo. A population-based study. J Neurol Neurosurg Psychiatry 78:710–715
Vrabec JT, Simon LM, Coker NJ (2007) Survey of Meniere’s disease in a subspecialty referral practice. Otolaryngol Head Neck Surg 137:213–217
Wladislavosky-Waserman P, Facer GW, Mokri B et al (1984) Meniere’s disease: a 30-year epidemiologic and clinical study in Rochester, Mn, 1951–1980. Laryngoscope 94:1098–1102
Yardley L, Owen N, Nazareth I et al (1998) Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J Gen Pract 48:1131–1135
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Neuhauser, H. Epidemiologie von Schwindelerkrankungen. Nervenarzt 80, 887–894 (2009). https://doi.org/10.1007/s00115-009-2738-9
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DOI: https://doi.org/10.1007/s00115-009-2738-9
Schlüsselwörter
- Schwindel
- Epidemiologie
- Benigner paroxysmaler Lagerungsschwindel
- Vestibuläre Migräne
- Neuritis vestibularis
- Morbus Menière