title: [Dizziness in the emergency room].
abstract: The majority of patients who present to the Emergency Department with vertigo suffer from benign conditions. However, a few percent of these patients have life-threatening conditions, such as a cerebellar stroke. The HINTS clinical decision rule (Head-Impulse test, Nystagmus, Test-of-Skew) allows the physician to identify patients with an acute vestibular syndrome of central origin. HINTS is more sensitive than early magnetic resonance imaging. There is no role for computed tomography in the evaluation of patients with isolated acute vestibular syndrome in the Emergency Department. For patients with benign paroxysmal positional vertigo, simple reposition maneuvers are effective for symptom relief.
authors.affiliation: Skane's University Hospital - Akutkliniken, Malmö Malmö, Sweden Skane's University Hospital - Akutkliniken, Malmö Malmö, Sweden.
authors.forename: Natalia
authors.initials: N
authors.lastname: Mochalina
authors.affiliation: - Lund, Sweden - Lund, Sweden.
authors.forename: Ardavan
authors.initials: A
authors.lastname: Khoshnood
authors.affiliation: Skane's University Hospital - Ear, nose and throat clinic Lund, Sweden - Lund, Sweden.
authors.forename: Mikael
authors.initials: M
authors.lastname: Karlberg
authors.forename: Eric
authors.initials: E
authors.lastname: Dryver
mesh_terms: D019091:Critical Pathways; D004244:Dizziness / Q000175:diagnosis* / Q000209:etiology; D004636:Emergency Service, Hospital; D006801:Humans; D009460:Neurologic Examination; D014717:Vertigo / Q000175:diagnosis* / Q000209:etiology; D014724:Vestibular Function Tests