This Journal feature begins with a case vignette highlightinga common clinical problem. Evidence supporting various strategiesis then presented, followed by a review of formal guidelines,when they exist. The article ends with the author's clinicalrecommendations.
A 53-year-old man awoke in the morning with acute dizziness.He staggered to the bathroom, where he vomited repeatedly. Whenhe was seen at a local emergency room 12 hours later, he hadleft-beating nystagmus in all positions of gaze but otherwiseno focal neurologic findings. How should he be evaluated andtreated?
Moon, I. S., Kim, J. S., Choi, K. D., Kim, M.-J., Oh, S.-Y., Lee, H., Lee, H.-S., Park, S.-H.
(2009). Isolated Nodular Infarction. Stroke
40: 487-491
[Abstract][Full Text]
Mandala, M., Nuti, D., Broman, A. T., Zee, D. S.
(2008). Effectiveness of Careful Bedside Examination in Assessment, Diagnosis, and Prognosis of Vestibular Neuritis. Arch Otolaryngol Head Neck Surg
134: 164-169
[Abstract][Full Text]
Stanton, V. A., Hsieh, Y.-H., Camargo, C. A. Jr, Edlow, J. A., Lovett, P., Goldstein, J. N., Abbuhl, S., Lin, M., Chanmugam, A., Rothman, R. E., Newman-Toker, D. E.
(2007). Overreliance on Symptom Quality in Diagnosing Dizziness: Results of a Multicenter Survey of Emergency Physicians. Mayo Clin Proc.
82: 1319-1328
[Abstract][Full Text]
Lee, H., Sohn, S. -I., Cho, Y. -W., Lee, S. -R., Ahn, B. -H., Park, B. -R., Baloh, R. W.
(2006). Cerebellar infarction presenting isolated vertigo: frequency and vascular topographical patterns.. Neurology
67: 1178-1183
[Abstract][Full Text]
Weiss, A. H., Phillips, J. O.
(2006). Congenital and Compensated Vestibular Dysfunction in Childhood: An Overlooked Entity. J Child Neurol
21: 572-579
[Abstract]
Black, R. A., Halmagyi, G. M., Thurtell, M. J., Todd, M. J., Curthoys, I. S.
(2005). The Active Head-Impulse Test in Unilateral Peripheral Vestibulopathy. Arch Neurol
62: 290-293
[Abstract][Full Text]
Strupp, M., Zingler, V. C., Arbusow, V., Niklas, D., Maag, K. P., Dieterich, M., Bense, S., Theil, D., Jahn, K., Brandt, T.
(2004). Methylprednisolone, Valacyclovir, or the Combination for Vestibular Neuritis. NEJM
351: 354-361
[Abstract][Full Text]
(2003). August 12 Highlights. Neurology
61: 283-285
[Full Text]
Orr, E. J., Baloh, R. W.
(2003). Vestibular Neuritis. NEJM
348: 2362-2363
[Full Text]
(2003). Robin Goodfellow (42-5). Rheumatology (Oxford)
42: 710-710
[Full Text]