von Bernstorff Maximilian, Pudszuhn Annett, Obermueller Theresa, Hofmann Veit Maria
Klinik für Hals-, Nasen-, Ohrenheilkunde, Campus Benjamin Franklin, Charité Universitätsmedizin Berlin, Berlin, Deutschland.
Laryngorhinootologie. 2021 Mar;100(3):195-201. doi: 10.1055/a-1289-0442. Epub 2020 Nov 9.
The vestibular neuropathy (VN) is a frequently diagnosed, acute peripheral vestibular form of vertigo. Typical symptoms are spinning vertigo, ipsilateral tendency to fall with standing and gait insecurity, and vegetative side effects. Epidemiological studies of VN in the general population are rare and the little existing literature varies in results.
All inpatient VN cases in Germany from 2000 to 2017 were evaluated. The data used was provided by the German Federal Statistical Office. In addition to the annual number of cases, information about age at diagnosis, gender and length of stay were evaluated.
Between 2000-2017, 401 242 inpatient cases with VN were reported in Germany. This translates into a prevalence of 36.7 cases/100 000 individuals in 2017. During the examined 17 years the number of cases with VN in Germany increased by approximately 180 %. Across all years evaluated, VN was observed more often among women than among men. The length of stay decreased continuously by a total of 3.3 days during the observation period.
In 2017, the observed prevalence of VN cases in Germany was 36.7 hospital cases/100 000 individuals. Literature shows a prevalence of non-hospitalized VN cases of 162/100 000 individuals in 2015. Even when taking into account an inaccuracy due to a possible bias, these numbers add up to a much higher prevalence of VN cases than described previously in the literature. The continuous increase in cases with VN in Germany may be associated with demographic changes in age structure and a related higher morbidity.
前庭神经病变（VN）是一种常见的急性外周性眩晕形式。典型症状包括旋转性眩晕、站立和行走时向患侧倾倒的倾向以及自主神经副作用。关于VN在普通人群中的流行病学研究很少，现有文献的结果也各不相同。
对2000年至2017年德国所有住院VN病例进行评估。所用数据由德国联邦统计局提供。除了每年的病例数外，还评估了诊断时的年龄、性别和住院时间等信息。
2000年至2017年期间，德国报告了401242例住院VN病例。这相当于2017年的患病率为每10万人中有36.7例。在研究的17年中，德国VN病例数增加了约180%。在所有评估年份中，女性VN病例的观察频率高于男性。观察期内住院时间总共持续减少了3.3天。
2017年，德国观察到的VN病例患病率为每10万人中有36.7例住院病例。文献显示，2015年非住院VN病例的患病率为每10万人中有162例。即使考虑到可能存在的偏差导致的不准确，这些数字加起来的VN病例患病率也比之前文献中描述的要高得多。德国VN病例的持续增加可能与年龄结构的人口变化以及相关的更高发病率有关。
