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Aktuelle Neurologie 2012; 39(10): 553-560
DOI: 10.1055/s-0032-1331192
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Integrierte Versorgung Schwindel

Integrated Care for Dizziness and Vertigo
M. Obermann
1   Klinik für Neurologie und Schwindel-Zentrum Essen, Universitätsklinikum Essen
,
U. Gollner
2   Klinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Essen
,
H.-C. Diener
1   Klinik für Neurologie und Schwindel-Zentrum Essen, Universitätsklinikum Essen
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Publication History

Publication Date:
03 January 2013 (online)

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Zusammenfassung

Schwindel ist eines der häufigsten Symptome in der Neurologie und der Medizin allgemein. Die Diagnose und Therapie als Grundlage einer guten Patientenversorgung wird von vielen Ärzten als schwierig empfunden. Die häufigsten Schwindel-Erkrankungen können im Wesentlichen durch Anamnese und klinische Untersuchung diagnostiziert werden. Ausgedehnte apparative Diagnostik ist in den wenigsten Fällen notwendig oder hilfreich. Die meisten Schwindel­erkrankungen sind gut therapierbar und haben eine exzellente Prognose, wenn sie rechtzeitig erkannt werden und nicht über Jahre chronifizieren. Die integrierte Versorgung ist ein Behandlungskonzept was auf den erhöhten Ressourcenbedarf dieser Patienten eingeht, eine Diagnose festlegt und ein Behandlungskonzept entwickelt um die weitere Chronifizierung der Erkrankung zu verhindern. Hierdurch wird die ambulante Versorgung im Rahmen der bereits bestehenden Möglichkeiten unterstützt und unnötige stationäre Aufenthalte vermieden.

Abstract

Dizziness/vertigo is one of the most frequent symptoms in neurology and medicine in general. The diagnosis and therapy as basis for a good patient management are considered to be difficult by many physicians. The most frequent dizziness/vertigo diseases can in principle be diagnosed by case history and clinical examination. Extensive apparatus diagnostics are necessary and useful only in a few cases. Most dizziness/vertigo diseases are well amenable to therapy and have an excellent prognosis when they are recognised in time and not subject to chronification over several years. Integrated care is a treatment concept that takes account of the high resource requirements of the patient, makes a diagnosis, and develops a therapeutic concept to avoid further chronification of the disease. The outpatient care within the framework of the existing possibilites is supported and unnecessary inpatient stays are avoided thereby.

Schlüsselwörter

Schwindel - Schwindel-Zentrum Essen - integrierte Versorgung - differenzialdiagnose ­Schwindel - phobischer Schwank­schwindel

Keywords

dizziness/vertigo - Dizziness and Vertigo Center Essen - integrated care - differential diagnosis vertigo and dizziness - phobic postural vertigo
 

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