[Somatoform vertigo syndrome].
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.
Eckhardt-Henn
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A
Klinik für Psychosomatische Medizin und Psychotherapie/ Medizinische Klinik 2, Bürgerhospital Klinikum Stuttgart, Tunzhoferstrasse 14-16, 70901 Stuttgart. A.Eckhardt@klinikum-stuttgart.de
Tschan
R
R
Best
C
C
Dieterich
M
M
D004244:Dizziness / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008881:Migraine Disorders / Q000150:complications / Q000175:diagnosis*; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000628:therapy*; D013577:Syndrome; D014717:Vertigo / Q000175:diagnosis* / Q000628:therapy*