Acute vestibular syndrome: a critical review and diagnostic algorithm concerning the clinical differentiation of peripheral versus central aetiologies in the emergency department

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• 作者：J. Venhovens ; J. Meulstee ; W. I. M. Verhagen
• 关键词：Acute vestibular syndrome (AVS) ; HINTS ; Head impulse test (HIT) ; Vertigo ; Vertebrobasilar stroke
• 刊名：Journal of Neurology
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：263
• 期：11
• 页码：2151-2157
• 全文大小：466 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Neurology
  Neurosciences
  Neuroradiology
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-1459
• 卷排序：263

文摘

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-third of these patients, this symptom is wrongly diagnosed to be peripheral vestibular in origin. As a result, these missed stroke patients are withheld from therapeutic and secondary prophylactic treatment, which may result in unnecessary morbidity and mortality. We therefore propose a diagnostic algorithm concerning the clinical differentiation of acute vestibular syndrome (AVS) patients based on a critical review of the available literature.