title: [Vertigo in the Emergency Department: new bedside tests].
abstract: According to international statistics, the first examination of 25% of patients with vertigo is carried out in Emergency Departments. The most important task of the examining physician is to diagnose life threatening pathologic processes. One of the most difficult otoneurological diagnostic challange in Emergency Departments is to differentiate between dangerous posterior scale stroke presenting with isolated vertigo and the benign vestibular neuritis.These two disorders can be safely differentiated using fast, non-invasive, evidence based bedside tests which have been introduced in the past few years. 35% of stroke cases mimicking vestibular neuritis (pseudoneuritis) are misdiagnosed at the Emergency Department, and 40% of these cases develop complications. During the first 48 hours, sensitivity for stroke of the new test that is based on the malfunction of the oculomotor system is better than the diffusion-weighted cranial magnetic resonance imaging. Using special test glasses each component of the new test can be made objective and repeatable.
authors.affiliation: Fül-Orr-Gégészeti és Fej-, Nyaksebészeti Osztály, Petz Aladár Megyei Oktató Kórház Győr.
authors.forename: T László
authors.initials: TL
authors.lastname: Tamás
authors.affiliation: Fül-Orr-Gégészeti és Fej-, Nyaksebészeti Osztály, Petz Aladár Megyei Oktató Kórház Győr.
authors.forename: Tibor
authors.initials: T
authors.lastname: Garai
authors.affiliation: Fül-Orr-Gégészeti és Fej-, Nyaksebészeti Osztály, Petz Aladár Megyei Oktató Kórház Győr.
authors.forename: Tamás
authors.initials: T
authors.lastname: Tompos
authors.affiliation: Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: Ágnes
authors.initials: Á
authors.lastname: Szirmai
mesh_terms: D002493:Central Nervous System Diseases / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D003943:Diagnostic Techniques, Neurological; D003939:Diagnostic Techniques, Otological; D038524:Diffusion Magnetic Resonance Imaging; D004636:Emergency Service, Hospital; D004660:Encephalitis / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007759:Labyrinth Diseases / Q000150:complications / Q000175:diagnosis*; D007762:Labyrinthitis / Q000150:complications / Q000175:diagnosis; D008417:Mastoiditis / Q000150:complications / Q000175:diagnosis; D019846:Miller Fisher Syndrome / Q000150:complications / Q000175:diagnosis; D009103:Multiple Sclerosis / Q000150:complications / Q000175:diagnosis; D000067716:Point-of-Care Testing; D012680:Sensitivity and Specificity; D020521:Stroke / Q000150:complications / Q000175:diagnosis; D014717:Vertigo / Q000145:classification / Q000209:etiology* / Q000503:physiopathology; D014724:Vestibular Function Tests; D020338:Vestibular Neuronitis / Q000150:complications / Q000175:diagnosis*; D014899:Wernicke Encephalopathy / Q000150:complications / Q000175:diagnosis
keywords: acute vestibular syndrome; akut vestibularis szindróma; bedside test; bizonyítékon alapuló; emergency; evidence based; szédülés; sürgősségi betegellátás; vertigo; ágy melletti diagnosztika