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Dtsch Med Wochenschr 2016; 141(15): 1094-1098
DOI: 10.1055/s-0042-111020
DOI: 10.1055/s-0042-111020
Fachwissen
So wird’s gemacht
Schwindel: Neurologische Untersuchung für Nicht-Neurologen
Clinical examination of vertigoFurther Information
Publication History
Publication Date:
27 July 2016 (online)
Zusammenfassung
Akute Schwindelsyndrome erfordern die rasche Differenzierung möglicher zentraler und peripherer Schwindelursachen. Hierzu eignen sich besonders die Beurteilung eines Spontan- oder Blickrichtungsnystagmus, der Kopfimpulstest und die Überprüfung einer Augenverrollung (skew deviation).
Abstract
Acute vertigo may originate from peripheral or central vestibular disorders. As central vestibular symptoms may indicate severe brainstem or cerebellar ischemia, rapid clinical differentiation is required. To this end, evaluation of spontaneous or gaze-evoked nystagm, head-impulse test as well identification of skew deviation are most helpful.
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Literatur
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