{"id":13370,"date":"2025-05-28T17:57:48","date_gmt":"2025-05-28T15:57:48","guid":{"rendered":"https:\/\/ivrt.de\/?p=13370"},"modified":"2026-04-29T11:43:52","modified_gmt":"2026-04-29T09:43:52","slug":"akut-perifer-ensidig-vestibulopati-vestibulaer-neuritis-darligere-prognose-ved-involvering-af-hele-nerven","status":"publish","type":"post","link":"https:\/\/ivrt.de\/da\/studien-evidenz\/akute-periphere-einseitige-vestibulopathie-neuritis-vestibularis-schlechtere-prognose-bei-beteiligung-des-gesamten-nervs\/","title":{"rendered":"Akut perifer ensidig vestibulopati (vestibul\u00e6r neuritis): D\u00e5rligere prognose ved involvering af hele nerven"},"content":{"rendered":"<p><strong>For fagfolk:<\/strong><\/p>\n\n\n\n<p>D\u00f8 <strong><a href=\"https:\/\/ivrt.de\/da\/vestibularisneuritis\/\" data-type=\"post\" data-id=\"7427\">Vestibular neuritis<\/a><\/strong> h\u00f8rer til de hyppigste \u00e5rsager til akutte perifere svimmelhedssyndromer. I de fleste tilf\u00e6lde er udelukkende <strong>superior del af nervus vestibularis<\/strong> ber\u00f8rt (sUVP). En ny unders\u00f8gelse af <strong><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40419799\/\" target=\"_blank\" rel=\"noreferrer noopener\">Best et al. (2025)<\/a><\/strong> kunde im midlertid vise, at det hos omkring en tredjedel af patienterne ogs\u00e5 <strong>nedre del<\/strong> med p\u00e5virkning af (s+iUVP) \u2013 med betydelige konsekvenser for sv\u00e6rhedsgrad og langtidsprognose.<\/p>\n\n\n\n<p><strong>Centrale studieresultater:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>36<\/strong><strong>\u202f%<\/strong> de 96 UVP-patienter havde en kombineret l\u00e6sion (s+iUVP).<\/li>\n\n\n\n<li>Denne gruppe viste:\n<ul class=\"wp-block-list\">\n<li>St\u00f8rre afvigelse fra <strong>subjektive visuelle vertikal (SVV)<\/strong><\/li>\n\n\n\n<li>Forh\u00f8jet <strong>okul\u00e6r torsion<\/strong><\/li>\n\n\n\n<li>H\u00f8jere rate af <strong>patologiske head-impulse-test (HIT)<\/strong><\/li>\n\n\n\n<li>Betydeligt reduceret <strong>cVEMP-amplituden<\/strong> p\u00e5 den ber\u00f8rte side<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Jeg er <strong>Langtidsforl\u00f8b (gns. 4 \u00e5r)<\/strong> viste s+iUVP-patienter h\u00f8jere v\u00e6rdier for <strong>Angst og psykisk belastning<\/strong> (The Symptom Checklist-90 R og Vertigo Symptom Scale).<\/li>\n<\/ul>\n\n\n\n<p><strong>Kliniske konsekvenser:<\/strong><\/p>\n\n\n\n<p>En tidlig identifikation af s+iUVP-patienter ved hj\u00e6lp af SVV, HIT og cVEMP er afg\u00f8rende for at:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>at kunne vurdere prognosen bedre<\/li>\n\n\n\n<li>et m\u00e5lrettet <a href=\"https:\/\/ivrt.de\/da\/vestibulaer-rehabiliteringsterapi-og-balance-traening-2\/\" data-type=\"post\" data-id=\"8932\">vestibul\u00e6r rehabilitering<\/a> at indlede<\/li>\n\n\n\n<li>at identificere psykosomatiske f\u00f8lgevirkninger p\u00e5 et tidligt tidspunkt<\/li>\n<\/ul>\n\n\n\n<p>\ud83d\udc49 <strong>Interesseret i viden om vestibularisneuritis?<\/strong><\/p>\n\n\n\n<p>S\u00e5 anbefaler vi vores praksisn\u00e6re <strong><a href=\"https:\/\/ivrt.de\/da\/for-sundhedsfagligt-personale\/efteruddannelsessogning\/\" data-type=\"page\" data-id=\"111\">IVRT\u00ae-uddannelse til svimmelheds- og vestibul\u00e6rterapeut<\/a> <\/strong>\u2013 med aktuelle studieindhold, differentialdiagnostiske tests og praksisorienteret terapiplanl\u00e6gning.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Til patienter \u2013 let forklaret:<\/strong><\/p>\n\n\n\n<p><strong><a href=\"https:\/\/ivrt.de\/da\/vestibularisneuritis\/\" data-type=\"post\" data-id=\"7427\">Vestibular neuritis<\/a> \u2013 Hvis hele balancehjernen er p\u00e5virket<\/strong><\/p>\n\n\n\n<p>Pludselig rotatorisk svimmelhed, kvalme, svedeture, usikkerhed ved gang \u2013 det kan v\u00e6re en <strong>Vestibular neuritis<\/strong> v\u00e6re. Det er en bet\u00e6ndelse i <strong>balancenerves<\/strong> i det indre \u00f8re. Mange mennesker kommer sig godt \u2013 men ikke alle.<\/p>\n\n\n\n<p>Forskere har fundet ud af: <strong>Hvis hele nerven er ramt<\/strong> (ikke kun en del), er generne som regel kraftigere \u2013 og det tager l\u00e6ngere tid, f\u00f8r man f\u00f8ler sig sikker igen.<\/p>\n\n\n\n<p><strong>Hvordan kan man se det?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kraftigere svimmelheid lige i begyndelsen<\/li>\n\n\n\n<li>Problemer med balancen, is\u00e6r i m\u00f8rke eller p\u00e5 uj\u00e6vnt terr\u00e6n<\/li>\n\n\n\n<li>Vedvarende usikkerhed ved gang<\/li>\n\n\n\n<li>H\u00f8jere risiko for angst eller \u201esvimmelhed\u201c selv uger eller m\u00e5neder senere<\/li>\n<\/ul>\n\n\n\n<p><strong>Hvad hj\u00e6lper?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>En <strong>god unders\u00f8gelse hos speciall\u00e6gen<\/strong>, for at finde ud af, hvor h\u00e5rdt nerven er ramt<\/li>\n\n\n\n<li><strong>M\u00e5lrettede <a href=\"https:\/\/ivrt.de\/da\/vestibulaer-rehabiliteringsterapi-og-balance-traening-2\/\" data-type=\"post\" data-id=\"8932\">vestibul\u00e6r rehabilitering<\/a><\/strong> med specielt uddannede terapeuter<\/li>\n\n\n\n<li>Efter behov: <strong>psykologisk st\u00f8tte<\/strong>, hvis frygt eller usikkerheid forbliver<\/li>\n<\/ul>\n\n\n\n<p>\ud83d\udc49 <strong>S\u00f8ger du hj\u00e6lp?<\/strong><br><br>Her finder du specialuddannede terapeuter i n\u00e6rheden af dig:<br><strong><a href=\"https:\/\/ivrt.de\/da\/for-patienter\/find-terapeut\/\" data-type=\"page\" data-id=\"101\">Til IVRT\u00ae-terapeut-s\u00f8gningen<\/a><\/strong><\/p>\n\n\n\n<p><strong>Konklusion:<\/strong><br>Yderligere skade p\u00e5 den nedre del af ligev\u00e6gtsnerven f\u00f8rte ved akut ensidig vestibul\u00e6r funktionsforstyrrelse til et forst\u00e6rket vestibul\u00e6rt handicap og kunne v\u00e6re en udl\u00f8ser for langvarige symptomer. En tidlig identifikation af disse patienter kan forbedre det kliniske forl\u00f8b, accelerere restitutionen og forhindre sekund\u00e6re psykosomatiske gener.<\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Die Neuritis vestibularis geh\u00f6rt zu den h\u00e4ufigsten Ursachen akuter peripherer Schwindelsyndrome. In den meisten F\u00e4llen ist ausschlie\u00dflich der superiore Anteil des Nervus vestibularis betroffen (sUVP). Eine neue Studie von Best et al. (2025) konnte jedoch zeigen, dass bei rund einem Drittel der Patient:innen auch der inferiore Anteil mit betroffen ist (s+iUVP) \u2013 mit [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18010,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":690,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-13370","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/posts\/13370","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/comments?post=13370"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/posts\/13370\/revisions"}],"predecessor-version":[{"id":18011,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/posts\/13370\/revisions\/18011"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/media\/18010"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/media?parent=13370"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/categories?post=13370"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/tags?post=13370"}],"curies":[{"name":"godt spillet","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}