{"title":"[老年头晕]。","authors":"Johannes Trabert","doi":"10.1007/s00106-025-01618-z","DOIUrl":null,"url":null,"abstract":"<p><p>Dizziness is a frequent and often multifactorial symptom in older patients that can significantly impair the quality of life. The causes are diverse and differ from younger patients. Polyneuropathy, orthostatic dysregulation, drug-related causes, positional vertigo and bilateral vestibulopathy are more frequent in old age. A detailed and vertigo-specific patient history, including the assessment of risk factors such as frailty, polypharmacy and comorbidities, is essential for the diagnostics. The treatment depends on the underlying cause and includes physiotherapeutic interventions as well as adjustments to the medication.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"357-365"},"PeriodicalIF":0.8000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Dizziness in old age].\",\"authors\":\"Johannes Trabert\",\"doi\":\"10.1007/s00106-025-01618-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Dizziness is a frequent and often multifactorial symptom in older patients that can significantly impair the quality of life. The causes are diverse and differ from younger patients. Polyneuropathy, orthostatic dysregulation, drug-related causes, positional vertigo and bilateral vestibulopathy are more frequent in old age. A detailed and vertigo-specific patient history, including the assessment of risk factors such as frailty, polypharmacy and comorbidities, is essential for the diagnostics. The treatment depends on the underlying cause and includes physiotherapeutic interventions as well as adjustments to the medication.</p>\",\"PeriodicalId\":55052,\"journal\":{\"name\":\"Hno\",\"volume\":\" \",\"pages\":\"357-365\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hno\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00106-025-01618-z\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hno","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00106-025-01618-z","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Dizziness is a frequent and often multifactorial symptom in older patients that can significantly impair the quality of life. The causes are diverse and differ from younger patients. Polyneuropathy, orthostatic dysregulation, drug-related causes, positional vertigo and bilateral vestibulopathy are more frequent in old age. A detailed and vertigo-specific patient history, including the assessment of risk factors such as frailty, polypharmacy and comorbidities, is essential for the diagnostics. The treatment depends on the underlying cause and includes physiotherapeutic interventions as well as adjustments to the medication.
期刊介绍:
HNO is an internationally recognized journal and addresses all ENT specialists in practices and clinics dealing with all aspects of ENT medicine, e.g. prevention, diagnostic methods, complication management, modern therapy strategies and surgical procedures.
Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of ENT medicine.
Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange.
Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies.
Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.