Diagnosing stroke in acute dizziness and vertigo: pitfalls and pearls

AS Saber Tehrani, JC Kattah, KA Kerber, DR Gold… - Stroke, 2018 - Am Heart Assoc
Vestibular strokes are often missed because clinical findings mimic benign ear disorders.
Because≥ 95% of ED patients with dizziness do not have stroke, detecting these …

Stroke mimics and chameleons

S Moulin, D Leys - Current opinion in neurology, 2019 - journals.lww.com
Stroke mimics account for up to 25% of admissions for probable strokes. The proportion of
patients with stroke mimics decreases with use of MRI at baseline. Mimics cannot always be …

Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE‐3): acute dizziness and vertigo in the emergency department

JA Edlow, C Carpenter, M Akhter… - Academic …, 2023 - Wiley Online Library
Abstract This third Guideline for Reasonable and Appropriate Care in the Emergency
Department (GRACE‐3) from the Society for Academic Emergency Medicine is on the topic …

Missed stroke in acute vertigo and dizziness: it is time for action, not debate

DE Newman-Toker - Annals of neurology, 2015 - pmc.ncbi.nlm.nih.gov
Vertigo and dizziness are responsible for an estimated 4.4 million emergency department
(ED) visits in the US each year. 1 Benign peripheral vestibular disorders may account for up …

Stroke chameleons and stroke mimics in the emergency department

AL Liberman, S Prabhakaran - Current neurology and neuroscience …, 2017 - Springer
Abstract Purpose of Review We discuss the frequency of stroke misdiagnosis in the
emergency department (ED), identify common diagnostic pitfalls, describe strategies to …

Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using …

AL Liberman, DE Newman-Toker - BMJ quality & safety, 2018 - qualitysafety.bmj.com
Background The public health burden associated with diagnostic errors is likely enormous,
with some estimates suggesting millions of individuals are harmed each year in the USA …

Stroke prediction based on the spontaneous nystagmus suppression test in dizzy patients: a diagnostic accuracy study

G Mantokoudis, T Wyss, E Zamaro, A Korda, F Wagner… - Neurology, 2021 - AAN Enterprises
Objective Failure of fixation suppression of spontaneous nystagmus is sometimes seen in
patients with vestibular strokes involving the cerebellum or brainstem; however, the …

Outcomes among patients discharged from the emergency department with a diagnosis of peripheral vertigo

CL Atzema, K Grewal, H Lu, MK Kapral… - Annals of …, 2016 - Wiley Online Library
Objective We aimed to determine the risk of short‐and long‐term stroke, as well as
accidental injury, in patients discharged from an emergency department who were given a …

Pitfalls in the diagnosis of posterior circulation stroke in the emergency setting

C Hoyer, K Szabo - Frontiers in Neurology, 2021 - frontiersin.org
Posterior circulation stroke (PCS), caused by infarction within the vertebrobasilar arterial
system, is a potentially life-threatening condition and accounts for about 20–25% of all …

Using the physical examination to diagnose patients with acute dizziness and vertigo

JA Edlow, D Newman-Toker - The Journal of emergency medicine, 2016 - Elsevier
Background Emergency department (ED) patients who present with acute dizziness or
vertigo can be challenging to diagnose. Roughly half have general medical disorders that …