Prevalence of stroke in acute vertigo presentations: A UK tertiary stroke centre perspective

Mahmud, Mohammad; Saad, Abdel Rahman; Hadi, Zaeem; Elliot, Jordan; Prendergast, Mabel; Kwan, Joseph; Seemungal, Barry M.

doi:10.1016/j.jns.2022.120416

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…It is worth noting that patients with late stroke tended to have ACS rather than PCS, suggesting that their strokes might be unrelated to the preceding dizziness symptoms. Patients might experience a stroke long after ED discharge simply due to their high baseline cerebrovascular risks, even though ACS involving specific cerebral cortical areas has been reported to present with acute dizziness and vertigo [ 15 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

Characteristics and risk of stroke in emergency department patients with acute dizziness

Chang,

Tsai,

Hsieh

et al. 2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Characteristics and risk of stroke in emergency department patients with acute dizziness

Chang,

Tsai,

Hsieh

et al. 2024

Heliyon

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“…The HINTS exam has a higher sensitivity than hyperacute magnetic resonance imaging in diagnosing posterior circulation stroke in patients presenting with acute vestibular syndrome [ 2 ]. However, Mahmud et al noted that the HINTS was sometimes inappropriately applied or incorrectly interpreted in the emergency department of a large tertiary hyperacute stroke center [ 9 ]. Therefore, adequate HINTS training should be provided in student practice, and the developed loupe will prove useful in this context.…”

Section: Discussionmentioning

confidence: 99%

A new portable Fresnel magnifying loupe for nystagmus observation: a clinical education and clinical practice setting study

et al. 2023

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Background Dizziness is a common complaint of patients treated by primary care physicians. It is predominantly caused by peripheral vestibular disorders; however, central nervous system disorders should be excluded. Examination of the eye movements and nystagmus can help differentiate the disorders of the central nervous system from the peripheral vestibular disorders; however, it is often not performed appropriately. In medical education practice, nystagmus observation may facilitate an understanding of vestibular function and nystagmus characteristics. Thus, we proposed a medical education practice to master nystagmus observation using a recently developed portable Fresnel magnifying loupe that could be shielded by one eye. Methods Thirty-three students from the Department of Physical Therapy and the Department of Speech, Language, and Hearing Therapy of the Mejiro University participated in this study. Postrotatory nystagmus was measured and compared using the new loupe and control methods, namely the naked eye and Frenzel goggles; we rated the ease of visibility using a five-point scale. Results The number of detected cases of nystagmus was significantly higher with the new loupe than with the naked eye (p = 0.001). In addition, there were no significant differences in the nystagmus counts between the observations using the new loupe and Frenzel goggles (p = 0.087). No significant difference was observed in the visibility of eye movements between the loupe and naked eye (p = 1.00). The Frenzel goggles provided better visibility compared to that by the loupe (p = 0.034); however, none of the participants reported poor visibility using any of these methods. Conclusions Our newly developed Fresnel loupe allows for the observation of nystagmus counts a level of reduction in fixation suppression similar to that of Frenzel goggles in an educational practice setting. Furthermore, it enables the detection of significantly more nystagmus counts compared to that by the naked eye. It offers several advantages over Frenzel goggles, including its lightweight, thin, durable, and portable design. Additionally, the loupe does not rely on a power source and can be used under normal room lighting conditions. Trial registration This study was approved by the Medical Research Ethics Committee of Mejiro University (approval number: 21medicine-021).

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“…Vertigo or vertigo observed in cerebrovascular illnesses is typically accompanied by concurrent neurological symptoms and indications. 5,6 As a result, there is now a general agreement among experts that strokes affecting the brainstem or cerebellum might manifest as discrete symptoms of vertigo, dizziness, or imbalance. Transient vertigo or dizziness is a frequently observed symptom of vertebrobasilar ischemia and may sometimes occur in isolation.…”

Section: Introductionmentioning

confidence: 99%

“…Transient vertigo or dizziness is a frequently observed symptom of vertebrobasilar ischemia and may sometimes occur in isolation. 4,6,7 The circle of Willis is a network of blood arteries that forms a ring around the brain and connects the anterior and posterior circulations. The ring is connected to the bilateral anterior cerebral arteries (ACA) via a single anterior communicating artery (ACom), which serves as the anteriormost boundary of the structure.…”

Section: Introductionmentioning

confidence: 99%

Vertigo and Dizziness in Anterior Circulation Cerebrovascular Disease : Systematic Review

Annurul Maulidia,

Rimbun Silitonga

2023

JARMHS

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Introduction: Recurrent spontaneous vertigo/dizziness episodes may manifest as fleeting occurrences. It is uncommon for vascular vertigo to cause an isolated positional vestibular condition, also known as recurrent positional vertigo or disorientation. The anteriormost boundary of the structure is the solitary anterior communicating artery (ACom), which connects the ring to the bilateral anterior cerebral arteries (ACA). The aim: This article explore about vertigo and dizziness in anterior circulation cerebrovascular disease. Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2013 and 2023 were taken into account. Several different online reference sources, like Pubmed and SagePub, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done. Result: In the PubMed database, the results of our search brought up 12 articles, whereas the results of our search on SagePub brought up 6 articles. The results of the search conducted for the last year of 2013 yielded a total 7 articles for PubMed and 2 articles for SagePub. In the end, we compiled a total of five papers, 4 of which came from PubMed and one of which came from SagePub. We included three research that met the criteria. Conclusion: Previous research has linked the findings of vertigo with disturbances in the cerebral arteries, especially when accompanied by complaints of hearing loss, balance disturbances, and limb weakness.

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Prevalence of stroke in acute vertigo presentations: A UK tertiary stroke centre perspective

Cited by 6 publications

References 21 publications

Characteristics and risk of stroke in emergency department patients with acute dizziness

Characteristics and risk of stroke in emergency department patients with acute dizziness

A new portable Fresnel magnifying loupe for nystagmus observation: a clinical education and clinical practice setting study

Vertigo and Dizziness in Anterior Circulation Cerebrovascular Disease : Systematic Review

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