Download PDF
neuroreha 2016; 08(04): 153-157
DOI: 10.1055/s-0042-118063
Schwerpunkt Balance und Gehen
Georg Thieme Verlag KG Stuttgart · New York

Schwindel und Gleichgewichtsstörungen in der Neurorehabilitation

Klaus Jahn
Further Information

Publication History

Publication Date:
02 December 2016 (online)

    Permissions and Reprints

Corrected by:

Schwindel und Gleichgewichtsstörungen in der Neurorehabilitationneuroreha 2016; 08(04): E153-E157
DOI: 10.1055/s-0036-1597570

Zusammenfassung

Schwindel und Gleichgewichtsstörungen entstehen bei Patienten in der Neurorehabilitation meist durch Läsionen der peripheren und zentralen sensorischen, insbesondere vestibulären Strukturen. Auch internistische Begleiterkrankungen oder psychosomatische Beschwerden können zu Schwindel führen. Der Schlüssel zur korrekten Diagnose sind einige wenige gezielte Fragen und die klinische Untersuchung, die mit ausreichender Zuverlässigkeit am Krankenbett möglich ist.

 

  • Literatur

  • 1 Ambrose AF, Paul G, Hausdorff JM. Risk factors for falls among older adults: A review of the literature. Maturitas 2013; 75: 51-61
    CrossrefPubMedGoogle Scholar
  • 2 Barra J, Auclair L, Charvillat A. et al. Postural control system influences intrinsic alerting state. Neuropsychology 2015; 29: 226-234
    CrossrefPubMedGoogle Scholar
  • 3 Bergmann J, Kreuzpointner MA, Krewer C. et al. The subjective postural vertical in standing: Reliability and normative data for healthy subjects. Atten Percept Psychophys 2015; 77: 953-960
    CrossrefPubMedGoogle Scholar
  • 4 Brandt T. (Vertigo – its multisensory syndromes; Vol. 2). London: Springer; 1999
  • 5 Delbaere K, Crombez G, van Haastregt JC. et al. Falls and catastrophic thoughts about falls predict mobility restriction in community-dwelling older people: A structural equation modelling approach. Aging Ment Health 2009; 13: 587-592
    CrossrefPubMedGoogle Scholar
  • 6 Dieterich M, Brandt T. Ocular torsion and tilt of subjective visual vertical are sensitive brainstem signs. Ann Neurol 1993; 33: 292-299
    PubMedGoogle Scholar
  • 7 Furman JM, Raz Y, Whitney SL. Geriatric vestibulopathy assessment and management. Curr Opin Otolaryngol Head Neck Surg 2010; 18: 386-391
    CrossrefPubMedGoogle Scholar
  • 8 Herdman SJ. Vestibular rehabilitation. Curr Opin Neurol 2013; 26: 96-101
    CrossrefPubMedGoogle Scholar
  • 9 Ilg W, Bastian AJ, Boesch S. et al. Consensus paper: Management of degenerative cerebellar disorders. Cerebellum 2014; 13: 248-268
    CrossrefPubMedGoogle Scholar
  • 10 Jahn K, Kressig RW, Bridenbaugh SA. et al. Dizziness and unstable gait in old age: Etiology, diagnosis and treatment. Dtsch Arztebl Int 2015; 112: 387-393
    PubMedGoogle Scholar
  • 11 Jonsson R, Sixt E, Landahl S. et al. Prevalence of dizziness and vertigo in an urban elderly population. J Vestib Res 2004; 14: 47-52
    PubMedGoogle Scholar
  • 12 Jorstad EC, Hauer K, Becker C. et al. Measuring the psychological outcomes of falling: A systematic review. J Am Geriatr Soc 2005; 53: 501-510
    CrossrefPubMedGoogle Scholar
  • 13 Krewer C, Riess K, Bergmann J. et al. Immediate effectiveness of single-session therapeutic interventions in pusher behaviour. Gait Posture 2013; 37: 246-250
    CrossrefPubMedGoogle Scholar
  • 14 Kumar A, Delbaere K, Zijlstra GA. et al. Exercise for reducing fear of falling in older people living in the community: Cochrane systematic review and meta-analysis. Age Ageing 2016; 45: 345-352
    CrossrefPubMedGoogle Scholar
  • 15 Lehnen N, Schneider E, Jahn K. Do neurologists need the head impulse test?. Nervenarzt 2013; 84: 973-974
    CrossrefPubMedGoogle Scholar
  • 16 Lundin-Olsson L, Nyberg L, Gustafson Y. „Stops walking when talking“ as a predictor of falls in elderly people. Lancet 1997; 349: 617
    CrossrefPubMedGoogle Scholar
  • 17 Montero-Odasso M, Verghese J, Beauchet O. et al. Gait and cognition: A complementary approach to understanding brain function and the risk of falling. J Am Geriatr Soc 2012; 60: 2127-2136
    CrossrefPubMedGoogle Scholar
  • 18 Mueller M, Strobl R, Jahn K. et al. Impact of vertigo and dizziness on self-perceived participation and autonomy in older adults: Results from the KORA-Age study. Qual Life Res 2014; a 23: 2301-2308
    CrossrefPubMedGoogle Scholar
  • 19 Mueller M, Strobl R, Jahn K. et al. Burden of disability attributable to vertigo and dizziness in the aged: Results from the KORA-Age study. Eur J Public Health 2014; b 24: 802-807
    CrossrefPubMedGoogle Scholar
  • 20 Perennou D, Piscicelli C, Barbieri G. et al. Measuring verticality perception after stroke: Why and how?. Neurophysiol Clin 2014; 44: 25-32
    CrossrefPubMedGoogle Scholar
  • 21 Reelick MF, van Iersel MB, Kessels RP. et al. The influence of fear of falling on gait and balance in older people. Age Ageing 2009; 38: 435-440
    CrossrefPubMedGoogle Scholar
  • 22 Schniepp R, Wuehr M, Neuhaeusser M. et al. Locomotion speed determines gait variability in cerebellar ataxia and vestibular failure. Mov Disord 2012; 27: 125-131
    CrossrefPubMedGoogle Scholar
  • 23 Schünke M, Schulte E, Schumacher U. Prometheus: LernAtlas der Anatomie. 3. Aufl.. Stuttgart: Thieme; 2012
    Google Scholar
  • 24 Selge C, Schoeberl F, Bergmann J. et al. Subjective body vertical: A promising diagnostic tool in idiopathic normal pressure hydrocephalus?. J Neurol 2016; DOI: 10.1007/s00415–016-8186–0.
    CrossrefPubMedGoogle Scholar
  • 25 Strupp M, Hufner K, Sandmann R. et al. Central oculomotor disturbances and nystagmus: A window into the brainstem and cerebellum. Dtsch Arztebl Int 2011; 108: 197-204
    CrossrefPubMedGoogle Scholar
  • 26 Szmulewicz DJ, Waterston JA, Halmagyi GM. et al. Sensory neuropathy as part of the cerebellar ataxia neuropathy vestibular areflexia syndrome. Neurology 2011; 76: 1903-1910
    CrossrefPubMedGoogle Scholar
  • 27 van de Warrenburg BP, van Gaalen J, Boesch S. et al. EFNS/ENS Consensus on the diagnosis and management of chronic ataxias in adulthood. Eur J Neurol 2014; 21: 552-562
    CrossrefPubMedGoogle Scholar
  • 28 Verghese J, Ambrose AF, Lipton RB. et al. Neurological gait abnormalities and risk of falls in older adults. J Neurol 2010; 257: 392-398
    CrossrefPubMedGoogle Scholar
  • 29 Wuehr M, Schniepp R, Schlick C. et al. Sensory loss and walking speed related factors for gait alterations in patients with peripheral neuropathy. Gait Posture 2014; 39: 852-858
    CrossrefPubMedGoogle Scholar
  • 30 Zingler VC, Cnyrim C, Jahn K. et al. Causative factors and epidemiology of bilateral vestibulopathy in 255 patients. Ann Neurol 2007; 61: 524-532
    CrossrefPubMedGoogle Scholar
  • 31 Zwergal A, Linn J, Xiong G. et al. Aging of human supraspinal locomotor and postural control in fMRI. Neurobiol Aging 2012; 33: 1073-1084
    CrossrefPubMedGoogle Scholar