Dizziness and vertigo in a department of emergency medicine

Cappello, Maria; Blasi, U Di; Piazza, L. Di; Ducato, G; Ferrara, Angelo; Franco, Simone Di; Fornaciari, M; Sciortino, Alice; Tarantino, A.; Blasi, S

doi:10.1097/00063110-199512000-00006

Cited by 41 publications

(31 citation statements)

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“…Dizziness, a disturbance of balance perception, is the third most-common medical symptom reported in general medical clinics. 9 The likelihood of cerebrovascular disease is the same in patients with true vertigo and those with nonvertiginous dizziness. 10 ED physicians are confronted with the challenge of evaluating benign causes of vertigo and potentially serious forms of vertigo that could cause disability or death.…”

Section: Discussionmentioning

confidence: 99%

“…10 ED physicians are confronted with the challenge of evaluating benign causes of vertigo and potentially serious forms of vertigo that could cause disability or death. 9 A previous survey of emergency physicians found that overreliance on the qualitative nature of the symptoms was linked to potential misdiagnosis. 11 None of the 8 misdiagnosed patients in our series was seen by a neurologist at the initial presentation.…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated With Misdiagnosis of Acute Stroke in Young Adults

Kuruvilla

Bhattacharya

Rajamani

et al. 2011

Journal of Stroke and Cerebrovascular Diseases

108

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors Associated With Misdiagnosis of Acute Stroke in Young Adults

Kuruvilla

Bhattacharya

Rajamani

et al. 2011

Journal of Stroke and Cerebrovascular Diseases

108

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“…Vertigo can be classified according to chronological criteria (acute, recurrent, chronic) or topographical criteria (central, peripheral) [7,8]. Vertigo is caused by a dysfunction of the vestibular nerve or the labyrinth [7] and the inability of the central nervous system to compensate for the dysfunction effectively.…”

Section: Vertigo and Dizzinessmentioning

confidence: 99%

Psychological consequences of vertigo and the effectiveness of vestibular rehabilitation for brain injury patients

Gurr

Moffat²

2001

Brain Inj.

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This research evaluated the effectiveness of a multidimensional psychological approach towards vestibular rehabilitation. The sample included 18 patients with vertigo due to acquired brain injury. Patients were assessed for vestibular disorder and referred to the therapy programme. They acted as their own controls. The therapy consisted of a behavioural exposure programme to movements and activities which provoked vertigo and anxiety in order to facilitate compensation of vestibular dysfunction and habituation to physical anxiety symptoms. Outcome measures included self-rating questionnaires and sway-monitor to assess vertigo and balance, emotional distress, vertigo handicap and coping strategies. This vestibular rehabilitation programme proved very effective and beneficial for the 18 patients, as their scores on measures of vertigo symptoms, handicap, emotional distress, physical flexibility and postural stability improved significantly post-therapy in comparison to no improvement during a waiting list period.

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“…The 1-year prevalence of vestibular vertigo in the general population is 5%,1 and it accounts for approximately 1% of all emergency department visits 2. A subset of these patients suffers the rapid onset of sustained vertigo, nausea and vomiting (in association with nystagmus, unsteady gait and head motion intolerance) known as the acute vestibular syndrome.…”

mentioning

confidence: 99%

Bedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis"

Cnyrim¹,

Newman‐Toker

Karch³

et al. 2008

Journal of Neurology, Neurosurgery & Psychiatry

224

181

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Acute unilateral peripheral and central vestibular lesions can cause similar signs and symptoms, but they require different diagnostics and management. We therefore correlated clinical signs to differentiate vestibular neuritis (40 patients) from central ''vestibular pseudoneuritis'' (43 patients) in the acute situation with the final diagnosis assessed by neuroimaging. Skew deviation was the only specific but non-sensitive (40%) sign for pseudoneuritis. None of the other isolated signs (head thrust test, saccadic pursuit, gaze evoked nystagmus, subjective visual vertical) were reliable; however, multivariate logistic regression increased their sensitivity and specificity to 92%.The 1-year prevalence of vestibular vertigo in the general population is 5%, 1 and it accounts for approximately 1% of all emergency department visits.2

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Dizziness and vertigo in a department of emergency medicine

Cited by 41 publications

References 0 publications

Factors Associated With Misdiagnosis of Acute Stroke in Young Adults

Factors Associated With Misdiagnosis of Acute Stroke in Young Adults

Psychological consequences of vertigo and the effectiveness of vestibular rehabilitation for brain injury patients

Bedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis"

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