Hospital-Based Video-Oculography for Acute Vertigo and Dizziness

In this article, we review studies that bring video-oculography (VOG) to the emergency department and inpatient settings, with an emphasis on acute vestibular syndrome. We find that most current studies are research-based, rather than pilot clinical programs. Many focus on the use of VOG to differentiate central disorders (eg, ischemic stroke) from peripheral (eg, inner ear) mimics....

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Video-oculography in emergency and inpatient settings shows diagnostic utility for acute vestibular syndrome, but this is a narrative review — clinicians should weigh local availability and operator training before adopting formal protocols.

Accurate, rapid bedside eye-movement recording in acute settings could significantly reduce missed strokes and unnecessary neuroimaging in patients presenting with acute dizziness.

1. 01Reviews evidence for video-oculography (eye-movement recording) in emergency and inpatient acute vertigo diagnosis.
2. 02Focuses on acute vestibular syndrome — a sudden, prolonged episode of dizziness — as the primary clinical target.
3. 03Examines studies from both emergency department and hospital inpatient contexts.
4. 04Diagnostic value centres on differentiating peripheral (inner-ear) from central (brain) causes of vertigo.
5. 05Published in Neurologic Clinics as a structured evidence review.

PMID

42869518

DOI

10.1016/j.ncl.2026.07.002.

Journal

Neurologic Clinics

Publication type

review

Evidence level

2a

Population

Patients presenting with acute vertigo or dizziness in emergency and inpatient hospital settings

Intervention

Hospital-based video-oculography (eye-movement recording device) for vestibular assessment