As many as two-thirds of acutely dizzy patients presenting to the emergency department report intermittent symptoms only, consistent with a transient acute vestibular syndrome (single episode lasting < 24 h) or an episodic vestibular syndrome (recurrent episodes, each lasting < 24 h)....
✦ The floor
Discussion
Signed responses from readers of the wire.
This guide offers a structured diagnostic framework for acute transient vestibular symptoms in the ED; audiologists working in multidisciplinary settings should be aware of it, but it is primarily directed at emergency medicine clinicians rather than audiologists.
Improving differential diagnosis of intermittent dizziness in emergency settings can reduce missed strokes and inappropriate vestibular labeling, benefiting downstream audiology and neurology referrals.
- 01Focuses on differential diagnosis of acute transient vestibular symptoms in the emergency department.
- 02Covers a range of causes including inner-ear, neurological, and cardiovascular origins.
- 03Provides clinicians with a structured approach to episodic dizziness workup.
- 04Highlights the importance of distinguishing peripheral from central vestibular causes urgently.
- 05Primarily relevant to emergency medicine but informs interdisciplinary vestibular care.
A structured clinical guide can improve differential diagnosis of acute transient vestibular symptoms in the emergency department.
guidelinepartially supported- PMID
- 42512528
- DOI
- 10.3390/brainsci16070754.
- Journal
- Brain Sciences
- Publication type
- review
- Evidence level
- 5
- Population
- Patients presenting with acute transient vestibular symptoms in the emergency department
- Intervention
- Clinical diagnostic framework for acute transient vestibular symptoms
Primary outcomes
Differential diagnosis accuracy of intermittent dizziness episodes