HNO-ärztliche Therapie des Schwindels bei älteren Patienten

Abstract

Gait disturbance and risk for falls of the elderly are a major problem for neurotologic diagnosis and treatment. Diagnostic differentiation especially in the case of acute vestibular syndrome and in cases of chronic or recurrent paroxysmal vestibular deficits is mandatory for treatment indications. Criteria for medical, surgical conservative and surgical destructive therapy as well as for vestibular rehabilitation are outlined.

Schwindel stellt bei Älteren aufgrund von z. B. Gangstörungen und Sturzrisiken ein großes Problem dar. Diagnose und Behandlung sind eine Herausforderung. Vor der Therapie ist eine diagnostische Differenzierung v. a. bei akutem vestibulärem Syndrom und chronischen oder rezidivierenden paroxysmalen vestibulären Defiziten zwingend erforderlich. Im Folgenden wird auf Kriterien und Therapieformen aus Sicht des HNO-Arztes eingegangen.

Schlüsselwörter

Vestibulardiagnostik - plötzlicher Sturz - Gleichgewichtsstörung - Betahistin - vestibuläres System

Key words

function test - vestibular - accidental falls elderly - gait disorders sensorimotor - betahistin - vestibule - labyrinth

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