Figure 1: Flow diagram indicating selection of articles.* In two articles26, 27 (n= 108),
published by a single research group, it is unclear whether each article reports on an …

Background Dizziness, a common chief complaint, has an extensive differential diagnosis
that includes both benign and serious conditions. Emergency physicians must distinguish …

Objective Acute dizziness/vertigo is usually due to benign inner‐ear causes but is
occasionally due to dangerous neurologic ones, particularly stroke. Because symptoms and …

Almost 20% of cerebral ischaemic strokes occur in the posterior circulation. Estimates are
that 20% of these patients present with isolated vertigo. In approximately one-sixth to one …

Background Diagnosing stroke in dizzy patients remains a challenge in emergency
medicine. The accuracy of the neuroophthalmologic examination HINTS performed by …

Vestibular strokes are often missed because clinical findings mimic benign ear disorders.
Because≥ 95% of ED patients with dizziness do not have stroke, detecting these …

The head impulse, nystagmus type, test of skew (HINTS) protocol set a new paradigm to
differentiate peripheral vestibular disease from stroke in patients with acute vestibular …

Background and Purpose—Acute vestibular syndrome (AVS) is often due to vestibular
neuritis but can result from vertebrobasilar strokes. Misdiagnosis of posterior fossa infarcts in …

Dizziness accounts for 3.3% to 4.4% of ED visits. 1–3 This translates into more than 4.3
million ED patients with dizziness or vertigo annually in the United States 4 and probably 50 …

Acute vestibular syndrome may be due to vestibular neuritis (VN) or posterior circulation
strokes. Bedside ocular motor testing performed by experts is superior to early MRI in …