title: [Emergency care of vertigo patients: suggestions for efficient management].
abstract: Some diseases in which persons show vertigo or dizziness may be life-threatening, regardless of symptom severity, and require careful attention. These include diseases of the inner ear, central nervous system, and cardiovascular manifestation. In May 2006, a group in charge of primary emergency consultation began work enabling physicians to treat vertigo patients more efficiently and safely, as detailed in this report. Of the 173 persons with vertigo hospitalized from January 2004 to March 2008, six had cerebrovascular manifestations clarified only after hospitalization, underscoring the importance of careful examination, especially of those 75 years of age older, having continuous headache, having severe trunk ataxia despite apparently mild eye nystagmus, or reporting a history of high blood pressure, diabetes mellitus, hyperlipidemia, or ischemic heart disease.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Kyorin University School of Medicine, Tokyo.
authors.forename: Yasunao
authors.initials: Y
authors.lastname: Kogashiwa
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Takei
authors.forename: Takeaki
authors.initials: T
authors.lastname: Matsuda
authors.forename: Takehiro
authors.initials: T
authors.lastname: Karaho
authors.forename: Masahiro
authors.initials: M
authors.lastname: Morita
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Kohno
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014717:Vertigo / Q000628:therapy*; D055815:Young Adult