neuroreha, Inhaltsverzeichnis neuroreha 2016; 08(04): 153-157DOI: 10.1055/s-0042-118063 Schwerpunkt Balance und Gehen Georg Thieme Verlag KG Stuttgart · New YorkSchwindel und Gleichgewichtsstörungen in der Neurorehabilitation Klaus Jahn Artikel empfehlen Abstract Erratum zu diesem Artikel:Schwindel und Gleichgewichtsstörungen in der Neurorehabilitationneuroreha 2016; 08(04): E153-E157DOI: 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. Volltext Referenzen 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 2 Barra J, Auclair L, Charvillat A. et al. Postural control system influences intrinsic alerting state. Neuropsychology 2015; 29: 226-234 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 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 6 Dieterich M, Brandt T. Ocular torsion and tilt of subjective visual vertical are sensitive brainstem signs. Ann Neurol 1993; 33: 292-299 7 Furman JM, Raz Y, Whitney SL. Geriatric vestibulopathy assessment and management. Curr Opin Otolaryngol Head Neck Surg 2010; 18: 386-391 8 Herdman SJ. Vestibular rehabilitation. Curr Opin Neurol 2013; 26: 96-101 9 Ilg W, Bastian AJ, Boesch S. et al. Consensus paper: Management of degenerative cerebellar disorders. Cerebellum 2014; 13: 248-268 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 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 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 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 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 15 Lehnen N, Schneider E, Jahn K. Do neurologists need the head impulse test?. Nervenarzt 2013; 84: 973-974 16 Lundin-Olsson L, Nyberg L, Gustafson Y. „Stops walking when talking“ as a predictor of falls in elderly people. Lancet 1997; 349: 617 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 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 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 20 Perennou D, Piscicelli C, Barbieri G. et al. Measuring verticality perception after stroke: Why and how?. Neurophysiol Clin 2014; 44: 25-32 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 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 23 Schünke M, Schulte E, Schumacher U. Prometheus: LernAtlas der Anatomie. 3. Aufl.. Stuttgart: Thieme; 2012 24 Selge C, Schoeberl F, Bergmann J. et al. Subjective body vertical: A promising diagnostic tool in idiopathic normal pressure hydrocephalus?. J Neurol 2016; 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 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 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 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 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 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 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