Eckhardt-Henn A, Tschan R, Best C, Dieterich M
Klinik für Psychosomatische Medizin und Psychotherapie/ Medizinische Klinik 2, Bürgerhospital Klinikum Stuttgart, Tunzhoferstrasse 14-16, 70901 Stuttgart.
Nervenarzt. 2009 Aug;80(8):909-17. doi: 10.1007/s00115-009-2736-y.
Nearly 50% of the patients in general medicine practice suffer from vertigo. In specialized vertigo clinics approximately 50% of the patients have either a primary or secondary somatoform vertigo, which develops after a peripheral vestibular disorder (in nearly 30%). The different subgroups of somatoform vertigo and a pathogenetic model for the two forms of somatoform vertigo are presented. Interesting interactions between neuro-anatomical, neurophysiological and psychological mechanisms concerning anxiety and vertigo are described. Therapeutic principles which are important for the treatment of patients with complex somatoform vertigo disorders are described.
普通内科门诊中近50%的患者患有眩晕症。在专门的眩晕诊所，约50%的患者患有原发性或继发性躯体形式眩晕，这种眩晕在周围性前庭疾病之后发生（近30%）。本文介绍了躯体形式眩晕的不同亚组以及两种躯体形式眩晕的发病机制模型。还描述了神经解剖学、神经生理学和心理机制之间关于焦虑和眩晕的有趣相互作用。阐述了对于治疗复杂躯体形式眩晕症患者很重要的治疗原则。
