{"id":17466,"date":"2026-01-26T16:17:31","date_gmt":"2026-01-26T15:17:31","guid":{"rendered":"https:\/\/ivrt.de\/?p=17466"},"modified":"2026-04-29T12:21:48","modified_gmt":"2026-04-29T10:21:48","slug":"vestibulaer-migrene-eller-morbus-meniere-lmu-studie-viser-at-syv-kendetegn-hjaelper-med-at-skelne-mellem-dem","status":"publish","type":"post","link":"https:\/\/ivrt.de\/da\/studien-evidenz\/vestibulaere-migraene-oder-morbus-meniere-lmu-studie-zeigt-sieben-merkmale-helfen-bei-der-unterscheidung\/","title":{"rendered":"Vestibul\u00e6r migr\u00e6n eller Morbus Meni\u00e8re? LMU-studie viser: Syv kendetegn hj\u00e6lper med at skelne mellem dem"},"content":{"rendered":"<p><strong>For fagfolk:<\/strong><\/p>\n\n\n\n<p>Vestibul\u00e6r migr\u00e6n (VM) og Meni\u00e8res sygdom (MD) er hyppige \u00e5rsager til tilbagevendende svimmelhedsanfald \u2013 og klinisk sv\u00e6re at skelne fra hinanden. LMU-studiet viser, hvilke kendetegn der adskiller dem bedst \u2013 og hvor de aktuelle diagnostiske kriterier (ICVD) n\u00e5r deres gr\u00e6nser.<\/p>\n\n\n\n<p>\ud83d\udd17Huppert D, Grill E, Becker-Bense S, Zwergal A, Strobl R. Diagnostiske udfordringer ved vestibul\u00e6r migrene \u2013 klinisk differentiation fra Meni\u00e8res sygdom og uoverensstemmelser med de aktuelle klassifikationskriterier. J Neurol. 2025 Aug 5;272(9):558.<\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40762827\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Original studie p\u00e5 PubMed<\/strong><\/a><\/p>\n\n\n\n<p><strong>Studiendesign:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sted: LMU M\u00fcnchen (Deutsches Schwindel- und Gleichgewichtszentrum, DSGZ)<\/li>\n\n\n\n<li>Deltagere: 276 patienter (188 VM, 88 MD)<\/li>\n\n\n\n<li>Metoder: Anamnese, audiometri, kalorik, video-hovedimpulstest (vHIT), okulomotoriske tests<\/li>\n\n\n\n<li>M\u00e5l: Bestemmelse af kliniske og apparative kendetegn til differentiering mellem VM og MD<\/li>\n<\/ul>\n\n\n\n<p><strong>Centrale resultater<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>VM: hyppigere hos kvinder (72\u202f%), tidligere debut (gennemsnitligt 40 \u00e5r)<\/li>\n\n\n\n<li>MD: hyppigere hos m\u00e6nd (49\u202f%), senere debut (gennemsnitligt 50 \u00e5r)<\/li>\n\n\n\n<li>Meni\u00e8re: typisk roterende svimmelhed, tinitus, h\u00f8reproblemer, kvalme<\/li>\n\n\n\n<li>Vestibul\u00e6r migrene: hyppigere hovedpine, lysf\u00f8lsomhed, gyngefornemmelse<\/li>\n\n\n\n<li> Objektive tests: MD viser hyppigere kaloriske asymmetrier og lavere vHIT-gain-v\u00e6rdier<\/li>\n\n\n\n<li>kalorisk-vHIT-dissociation (abnorm kalorik, normal vHIT) taler for MD<\/li>\n\n\n\n<li>Syv n\u00f8glekriterier (86\u202f%-n\u00f8jagtighed): H\u00f8reproblemer, alder, opkast, forskel i kaloriske resultater mellem venstre og h\u00f8jre side, ustabilitet ved st\u00e5ende stilling, tinnitus, hovedpine (se figuren nedenfor)<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"696\" height=\"564\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2026\/01\/Wissensblog-14-text-1.png\" alt=\"\" class=\"wp-image-17469\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2026\/01\/Wissensblog-14-text-1.png 696w, https:\/\/ivrt.de\/wp-content\/uploads\/2026\/01\/Wissensblog-14-text-1-300x243.png 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2026\/01\/Wissensblog-14-text-1-15x12.png 15w\" sizes=\"(max-width: 696px) 100vw, 696px\" \/><\/figure>\n\n\n\n<p><strong>\u201eMist\u00e6nkt VM\u201c, n\u00e5r kriterierne ikke passer<\/strong><\/p>\n\n\n\n<p>Rundt en tredjedel af VM-tilf\u00e6ldene opfyldte ikke ICVD-kriterierne fuldt ud, men blev af eksperter klassificeret som VM. Hoved\u00e5rsagerne var atypiske hovedpineformer (f.eks. bilaterale eller trykkende smerter), et lavt antal anfald, afvigende ledsagesymptomer eller subtile centrale \u00f8jenbev\u00e6gelsesfund.<\/p>\n\n\n\n<p><strong><strong>Klinisk betydning<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ikke hvert l\u00e6rebogsbillede er korrekt \u2013 stive kriterier f\u00f8rer let til feildiagnoser.<\/li>\n\n\n\n<li>Kombinationen af sygehistorie, kalorisk test, vHIT og klinisk observation giver den bedste differentiering.<\/li>\n\n\n\n<li>\u201eMist\u00e6nkt VM\u201c b\u00f8r tages alvorligt for at undg\u00e5 forsinkelser i behandlingen.<\/li>\n<\/ul>\n\n\n\n<p><strong>Konklusion for praksis<\/strong><\/p>\n\n\n\n<p>Vestibul\u00e6r migr\u00e6ne og Meni\u00e8re kan p\u00e5 grundlag af f\u00e5 kliniske og apparative kendetegn skelnes p\u00e5lideligt fra hinanden. Vigtige er struktureret sygehistorie, kombineret testning og et \u00e5bent blik for atypiske forl\u00f8b.<\/p>\n\n\n\n<p><strong>\ud83d\udc49 Du interesserer dig for en grundformidlet efteruddannelse til <a href=\"https:\/\/ivrt.de\/da\/patientuddannelse\/vestibulaer-rehabiliteringsterapi-og-balance-traening-2\/\" data-type=\"post\" data-id=\"8932\" target=\"_blank\" rel=\"noreferrer noopener\">vestibul\u00e6r rehabiliteringsterapi<\/a> og hvordan du kan pleje og behandle begge lidelser terapeutisk for at hj\u00e6lpe svimmelhedspatienter hurtigere og mere sikkert?<\/strong><\/p>\n\n\n\n<p>Aktuelle efteruddannelsestilbud finder du i <strong><a href=\"https:\/\/ivrt.de\/da\/for-sundhedsfagligt-personale\/efteruddannelsessogning\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT-Efteruddannelsess\u00f8gning<\/a>.<\/strong><\/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 forklaret p\u00e5 en enkel m\u00e5de<\/strong><\/p>\n\n\n\n<p><strong><strong><strong>Vestibul\u00e6r migr\u00e6n eller Meni\u00e8re? Hvorfor de begge ofte f\u00f8les ens \u2013 og alligevel er forskellige<\/strong><\/strong><\/strong><\/p>\n\n\n\n<p>To hyppige \u00e5rsager til tilbagevendende svimmelhedsanfald er vestibul\u00e6r migr\u00e6ne og Meni\u00e8res sygdom. Begge kan virke ensartede \u2013 men de opst\u00e5r af forskellige \u00e5rsager og kr\u00e6ver forskellige behandlinger.<br><br>\ud83d\udcc4 Huppert D, Grill E, Becker-Bense S, Zwergal A, Strobl R. Diagnostic challenges in vestibular migraine-clinical differentiation from Meni\u00e8re\u2019s disease and discrepancies with current classification criteria. J Neurol. 2025 Aug 5;272(9):558. doi: 10.1007\/s00415-025-13291-x. PMID: 40762827; PMCID: PMC12325411.<\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40762827\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Til originalstudiet<\/a><\/p>\n\n\n\n<p><strong>Hvad viser det nye studie?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Meni\u00e8re: hyppig rotationssvimmelhed, tinnitus og h\u00f8reneds\u00e6ttelse<\/li>\n\n\n\n<li>Vestibul\u00e6r migr\u00e6ne: ofte hovedpine, lysf\u00f8lsomhed eller trykken for hovedet<\/li>\n\n\n\n<li>Ved hj\u00e6lp af s\u00e6rlige tests (Kalorik, vHIT) kunne l\u00e6gerne i 86\u202f% af tilf\u00e6ldene skelne korrekt mellem dem<\/li>\n<\/ul>\n\n\n\n<p>Nogle ramte passer ikke n\u00f8jagtigt ind i l\u00e6rebogsdefinitionerne. Mangler typiske migr\u00e6netegn eller forl\u00f8ber anfald anderledes, taler fagfolk om \u201esuspected VM\u201c \u2013 en sandsynlig, men endnu ikke entydigt fastsl\u00e5et vestibul\u00e6r migr\u00e6ne.<\/p>\n\n\n\n<p><strong><strong>Hvad betyder det for dig?<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u00f8reproblemer eller tinnitus peger snarere p\u00e5 Meni\u00e8res sygdom, hovedpine og lysf\u00f8lsomhed snarere p\u00e5 vestibul\u00e6r migr\u00e6ne.<\/li>\n\n\n\n<li>En god diagnose kr\u00e6ver normalt mere end bare \u00e9n test.<\/li>\n\n\n\n<li>Grundig unders\u00f8gelse sparer tid, fejlbehandlinger og usikkerhed.<\/li>\n<\/ul>\n\n\n\n<p><strong><strong>Hvad kan jeg g\u00f8re for dig?<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tal med din l\u00e6ge om vestibul\u00e6re tests (f.eks. vHIT eller kalorik).<\/li>\n\n\n\n<li>Selvom testene er up\u00e5faldende, kan en second opinion p\u00e5 et specialiseret svimmelhedscenter skabe klarhed.<\/li>\n<\/ul>\n\n\n\n<p>\ud83c\udfaf <strong>Vores specialuddannede IVRT\u00ae svimmelheds- og vestibul\u00e6rterapeuter<\/strong> st\u00f8tter dig efter diagnosen med en individuel balancetr\u00e6ning for at genvinde tryghed og velv\u00e6re: <strong><a href=\"https:\/\/ivrt.de\/da\/for-patienter\/find-terapeut\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">S\u00f8gning efter IVRT-terapeut<\/a><\/strong><\/p>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Vestibul\u00e4re Migr\u00e4ne (VM) und Morbus Meni\u00e8re (MD) sind h\u00e4ufige Ursachen wiederkehrender Schwindelattacken \u2013 und klinisch schwer zu unterscheiden. Die LMU-Studie zeigt, welche Merkmale am besten trennen \u2013 und wo die aktuellen Diagnosekriterien (ICVD) an ihre Grenzen sto\u00dfen. \ud83d\udd17Huppert D, Grill E, Becker-Bense S, Zwergal A, Strobl R. Diagnostic challenges in vestibular migraine-clinical differentiation [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18016,"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":522,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-17466","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\/17466","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=17466"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/posts\/17466\/revisions"}],"predecessor-version":[{"id":17470,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/posts\/17466\/revisions\/17470"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/media\/18016"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/media?parent=17466"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/categories?post=17466"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/da\/wp-json\/wp\/v2\/tags?post=17466"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}