Experiences with an interdisciplinary inpatient diagnostic concept in chronic vertigo syndromes

Patients with chronic vertigo syndromes and employed persons experience a significant impairment of the quality of life up to the limitation of the ability to work. The consequences are financial and capacitive loads on the health system due to multiple examinations and sick leave. These patients often turn to specialized outpatient clinics for additional or extended examinations. A comprehensive clarification with the inclusion of technical examinations and doctors from other specialties is difficult in the classic consultation hour setting.

Patients and methods: A retrospective analysis of 150 patients was carried out as part of an inpatient interdisciplinary diagnostic concept. In addition to a detailed otoneurological diagnosis, the patients were also assessed by colleagues in the fields of neurology, physical medicine, psychsomatics, possibly ophthalmology and internal medicine. In over 90 %  of the "unclear chronic vertigo syndromes", at least one diagnosis that gave rise to the symptoms could be made. Chronic vertigo syndromes are often multifactorial. More than a third of the patients found, among other things, accompanying psychosomatic diagnoses. Meaningful therapeutic recommendations can only be made specific to the diagnosis, which is why in persistently unclear cases, clarification as part of an interdisciplinary inpatient diagnostic concept is decisive.

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Artikel online veröffentlicht:
13. Mai 2021