[Differential diagnosis of dizziness (author's transl)].

摘要: The common denominator of the different meanings dizziness is a disturbance spatio-postural orientation, which indicates an imminent danger fall. Hohenschwindel (fear hights) with grasping and holding in primate instinctive behavior caused by visual cliff or sudden dizziness. Because many possible dizziness, case history important for differential diagnosis. Vertiginous non-vertiginous black out unsteady gait without vertigo should be distinguished. In addition, duration time course attack, releasing mechanisms accompanying symptoms explored. recurrent hearing loss, vestibular, vascular, cardial epileptic disorders considered as well intoxication, cerebral tumor, cerebellar hemangioblastoma, multiple sclerosis, neurosis psychosis. Epileptic occurs not only prodromal stage grand mal attacks temporal lobe epilepsy, but also petit absences short (less than 5 s) blurring consciousness apparent; are easily overlooked childhood. Besides objective obtained from patient's relatives, EEG-recording when falling asleep morning after one night sleep deprivation best means diagnosis epilepsia. Spontaneous nystagmus complete exclusion fixation physiological phenomenon. For between pathological spontaneous nystagmus, Frenzel's spectacles dark room indispensable. distinction narrower sense, gaze discussed. diagnostic importance direction mentioned. Jerking may congenital. Pendular acquired. Therefore, additional criteria congenital acquired necessary.