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1,466 results

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Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department.
Edlow JA, Carpenter C, Akhter M, Khoujah D, Marcolini E, Meurer WJ, Morrill D, Naples JG, Ohle R, Omron R, Sharif S, Siket M, Upadhye S, E Silva LOJ, Sundberg E, Tartt K, Vanni S, Newman-Toker DE, Bellolio F. Edlow JA, et al. Acad Emerg Med. 2023 May;30(5):442-486. doi: 10.1111/acem.14728. Acad Emerg Med. 2023. PMID: 37166022 Free article.
The intended population is adults presenting to the ED with acute dizziness or vertigo. The panel derived 15 evidence-based recommendations based on the timing and triggers of the dizziness but recognizes that alternative diagnostic approaches exist, such as …
The intended population is adults presenting to the ED with acute dizziness or vertigo. The panel derived 15 evidence-based re …
Diagnosis and treatment of vertigo and dizziness : Interdisciplinary guidance paper for clinical practice.
Tarnutzer AA, Kerkeni H, Diener S, Kalla R, Candreia C, Piantanida R, Maire R, Welge-Lüssen A, Budweg J, Zwergal A, Dlugaiczyk J. Tarnutzer AA, et al. HNO. 2025 Dec;73(Suppl 3):357-369. doi: 10.1007/s00106-025-01599-z. Epub 2025 Jun 17. HNO. 2025. PMID: 40526155 Free PMC article. Review.
BACKGROUND: Vertigo and dizziness belong to the most common leading symptoms in clinical practice. ...This review aims to serve as a clinical companion for physicians of all specialties dealing with the primary diagnosis and treatment of vertigo and dizzin …
BACKGROUND: Vertigo and dizziness belong to the most common leading symptoms in clinical practice. ...This review aims to serv …
Vascular vertigo and dizziness: Diagnostic criteria.
Kim JS, Newman-Toker DE, Kerber KA, Jahn K, Bertholon P, Waterston J, Lee H, Bisdorff A, Strupp M. Kim JS, et al. J Vestib Res. 2022;32(3):205-222. doi: 10.3233/VES-210169. J Vestib Res. 2022. PMID: 35367974 Free PMC article.
Vertigo and dizziness are among the most common symptoms of posterior circulation strokes. Vascular vertigo/dizziness may be acute and prolonged ( 24 hours) or transient (minutes to < 24 hours). ...
Vertigo and dizziness are among the most common symptoms of posterior circulation strokes. Vascular vertigo/dizzines …
Cerebellar Dizziness and Vertigo: Etiologies, Diagnostic Assessment, and Treatment.
Zwergal A, Feil K, Schniepp R, Strupp M. Zwergal A, et al. Semin Neurol. 2020 Feb;40(1):87-96. doi: 10.1055/s-0039-3400315. Epub 2019 Dec 30. Semin Neurol. 2020. PMID: 31887755 Review.
Cerebellar dizziness and vertigo account for approximately 10% of diagnoses in a tertiary dizziness center. ...Key to the diagnosis is a comprehensive examination of central ocular motor and vestibular function. Patients with cerebellar dizziness and …
Cerebellar dizziness and vertigo account for approximately 10% of diagnoses in a tertiary dizziness center. ...Key to t …
Dizziness: Evaluation and Management.
Rogers TS, Noel MA, Garcia B. Rogers TS, et al. Am Fam Physician. 2023 May;107(5):514-523. Am Fam Physician. 2023. PMID: 37192077 Free article.
The physical examination may include orthostatic blood pressure measurement, a full cardiac and neurologic examination, assessment for nystagmus, the Dix-Hallpike maneuver (for patients with triggered dizziness), and the HINTS (head-impulse, nystagmus, test of skew) …
The physical examination may include orthostatic blood pressure measurement, a full cardiac and neurologic examination, assessment for nysta …
Dizziness: Approach to Evaluation and Management.
Muncie HL, Sirmans SM, James E. Muncie HL, et al. Am Fam Physician. 2017 Feb 1;95(3):154-162. Am Fam Physician. 2017. PMID: 28145669 Free article.
Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient's history: vertigo, presyncope, disequilibrium, and light-headedness. ...Patients have difficulty describing the quality of their symptoms but can mor …
Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient's history: ver …
HINTS outperforms ABCD2 to screen for stroke in acute continuous vertigo and dizziness.
Newman-Toker DE, Kerber KA, Hsieh YH, Pula JH, Omron R, Saber Tehrani AS, Mantokoudis G, Hanley DF, Zee DS, Kattah JC. Newman-Toker DE, et al. Acad Emerg Med. 2013 Oct;20(10):986-96. doi: 10.1111/acem.12223. Acad Emerg Med. 2013. PMID: 24127701 Free article.
OBJECTIVES: Dizziness and vertigo account for about 4 million emergency department (ED) visits annually in the United States, and some 160,000 to 240,000 (4% to 6%) have cerebrovascular causes. Stroke diagnosis in ED patients with vertigo/dizziness is …
OBJECTIVES: Dizziness and vertigo account for about 4 million emergency department (ED) visits annually in the United States, …
Acute Vestibular Syndrome.
Steenerson KK. Steenerson KK. Continuum (Minneap Minn). 2021 Apr 1;27(2):402-419. doi: 10.1212/CON.0000000000000958. Continuum (Minneap Minn). 2021. PMID: 34351112 Review.
RECENT FINDINGS: Acute vestibular syndrome is defined as sudden-onset, continuous vertigo lasting longer than 24 hours with associated nausea and vomiting, all of which are worsened with head movement. ...SUMMARY: The diagnosis of acute vestibular syndrome first requires t …
RECENT FINDINGS: Acute vestibular syndrome is defined as sudden-onset, continuous vertigo lasting longer than 24 hours with associate …
HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging.
Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. Kattah JC, et al. Stroke. 2009 Nov;40(11):3504-10. doi: 10.1161/STROKEAHA.109.551234. Epub 2009 Sep 17. Stroke. 2009. PMID: 19762709 Free PMC article.
Misdiagnosis of posterior fossa infarcts in emergency care settings is frequent. Bedside oculomotor findings may reliably identify stroke in AVS, but prospective studies have been lacking. ...CONCLUSIONS: Skew predicts brainstem involvement in AVS and can identify stroke w …
Misdiagnosis of posterior fossa infarcts in emergency care settings is frequent. Bedside oculomotor findings may reliably identify st …
Dizziness.
Omron R, Edlow J. Omron R, et al. Emerg Med Clin North Am. 2026 Feb;44(1):85-106. doi: 10.1016/j.emc.2025.08.006. Epub 2025 Oct 15. Emerg Med Clin North Am. 2026. PMID: 41260859 Review.
A structured, problem-based history and physical examination are essential for accurate diagnosis and treatment of an acutely dizzy patient. The ATTEST or STANDING algorithms are diagnostic approaches for acute vertigo patients presenting to the emergency department …
A structured, problem-based history and physical examination are essential for accurate diagnosis and treatment of an acutely dizzy p …
1,466 results