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Vertigo: Dr Jekyll or Mr Hyde? A video tutorial for assessment of nystagmus in the emergency room

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References

  1. 1.

    Casati C, Castelli M, Pavellini A, Caviglioli C, Pecci R (2016) An unusual case of vertigo: the usefulness of nystagmus examination. Intern Emerg Med. doi:10.1007/s11739-016-1538-z

  2. 2.

    Sharma M, Helzner E, Sinert R, Levine SR, Brandler ES (2016) Patient characteristics affecting stroke identification by emergency medical service providers in Brooklyn, New York. Intern Emerg Med 11(2):229–236. doi:10.1007/s11739-015-1347-9

  3. 3.

    Post RE, Dickerson LM (2010) Dizziness: a diagnostic approach. Am Fam Physician 82(4):361–368

  4. 4.

    Newman-Toker DE, Edlow JA (2015) TiTrATE a novel, evidence-based approach to diagnosing acute dizziness and vertigo. Neurol Clin 33(3):577. doi:10.1016/j.ncl.2015.04.011

  5. 5.

    Peter JV, Sudarsan TI, Moran JL (2014) Clinical features of organophosphate poisoning: a review of different classification systems and approaches. Indian J Crit Care Med 18(11):735–745. doi:10.4103/0972-5229.144017

  6. 6.

    Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh YH, Newman-Toker DE (2011) Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ 183(9):E571–E592. doi:10.1503/cmaj.100174

  7. 7.

    Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE (2009) HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 40(11):3504–3510. doi:10.1161/STROKEAHA.109.551234

  8. 8.

    Chen L, Lee W, Chambers BR, Dewey HM (2011) Diagnostic accuracy of acute vestibular syndrome at the bedside in a stroke unit. J Neurol 258(5):855–861. doi:10.1007/s00415-010-5853-4

  9. 9.

    Newman-Toker DE, Kerber KA, Hsieh YH, Pula JH, Omron R, Saber Tehrani AS, Mantokoudis G, Hanley DF, Zee DS, Kattah JC (2013) HINTS outperforms ABCD2 to screen for stroke in acute continuous vertigo and dizziness. Acad Emerg Med 20(10):986–996. doi:10.1111/acem.12223

  10. 10.

    Vanni S, Nazerian P, Casati C, Moroni F, Risso M, Ottaviani M, Pecci R, Pepe G, Vannucchi P, Grifoni S (2015) Can emergency physicians accurately and reliably assess acute vertigo in the emergency department? Emerg Med Australas 27(2):126–131. doi:10.1111/1742-6723.12372

  11. 11.

    Vanni S, Pecci R, Casati C, Moroni F, Risso M, Ottaviani M, Nazerian P, Grifoni S, Vannucchi P (2014) STANDING, a four-step bedside algorithm for differential diagnosis of acute vertigo in the Emergency Department. Acta Otorhinolaryngol Ital 34(6):419–426

  12. 12.

    Newman-Toker DE, Kattah JC, Alvernia JE, Wang DZ (2008) Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis. Neurology 70(24 Pt 2):2378–2385. doi:10.1212/01.wnl.0000314685.01433.0d

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Correspondence to Pietro Amedeo Modesti.

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Vanni, S., Vannucchi, P. & Modesti, P.A. Vertigo: Dr Jekyll or Mr Hyde? A video tutorial for assessment of nystagmus in the emergency room. Intern Emerg Med 11, 1041–1043 (2016) doi:10.1007/s11739-016-1544-1

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Keywords

  • Posterior Inferior Cerebellar Artery
  • Benign Paroxysmal Positional Vertigo
  • Vestibular Neuritis
  • Vestibular Migraine
  • Spontaneous Nystagmus