PMID: 9422208Dec 1, 1995Paper

Dizziness and vertigo in a department of emergency medicine

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
M CappelloS di Blasi

Abstract

Dizziness is a common and vexing diagnostic problem in emergency departments. The term is rather undefinite and often misused, but can in practice be classified into four categories: fainting, disequilibrium, vertigo and miscellaneous syndromes. Vertigo is the most common category of dizziness. Classification of vertigo can be based either on chronological criteria (acute, recurrent or chronic vertigo) or on topographical criteria (peripheral or central vertigo). Physicians working in emergency departments must be able to rapidly identify patients with potentially serious forms of vertigo, which could cause death or disability, and patients with mild conditions, that can be effectively treated. Previous studies and the experience of the authors have shown that reliable diagnostic hypotheses can be generated by taking a proper clinical history (focused on the onset and duration of the disease, the circumstances causing the vertigo and associated otological or neurological symptoms) and performing an accurate physical examination (evaluation of neurological defects and spontaneous or provoked nystagmus), supplemented by few laboratory tests and diagnostic procedures. Therapy of vertigo in emergency settings is mainly symptomatic ...Continue Reading

Citations

Aug 26, 2006·Nature Clinical Practice. Neurology·David E Newman-Toker, Carlos A Camargo
Dec 24, 2010·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Jeff G ZhaoJoel A Goebel
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Aug 20, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Abraham KuruvillaSeemant Chaturvedi
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Jun 30, 2015·Clinical and Experimental Emergency Medicine·Ileok Jung, Ji-Soo Kim
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Oct 9, 2020·Clinical and Experimental Emergency Medicine·Hayoung KimJoonghee Kim
Aug 11, 2020·Audiology Research·Elisabetta CristianoFilippo Ricciardiello
Apr 27, 2021·Neurologic Clinics·Barbara Voetsch, Siddharth Sehgal
Jul 30, 2021·Frontiers in Neurology·Bum Joon KimDong-Wha Kang

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