Diagnostik und Therapie vestibulärer Störungen

Strupp, M.; Jahn, Klaus; Zwergal, A.; Dieterich, M.; Brandt, T.

doi:10.1055/s-0029-1220445

Cited by 3 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, Lee et al [7] found that approximately 17% of patients with PICA territory cerebellar infarction present with pseudovestibular neuronitis. Other studies from outpatient departments reported a frequency of serious diagnoses in dizziness patients to be 5–12% [10,11,12]. In the patient sample studied here, serious diagnoses were made in 27% of the patients.…”

Section: Discussionmentioning

confidence: 48%

“…In addition, due to 24-hour availability, the threshold for neurological consultations is generally low. This is important when considering the higher incidence of serious causes of dizziness in patients of our study sample (27%) in comparison to studies from outpatient departments who reported rates of 5–12% [10,11,12]. With sole reliance on these studies, the a priori probability of a serious disorder in ER dizziness patients might be underestimated by ER neurologists.…”

Section: Discussionmentioning

confidence: 84%

“…Workup is further complicated by the fact that even immediate MRI does not completely rule out small ischemic brainstem lesions causing central vestibular syndromes [9]. In selected patient samples with high risk for stroke, almost 70% had a central vestibular syndrome [9], while studies from outpatient clinics report substantially smaller rates of 5–12% [10,11,12]. To our knowledge, there have been no systematic epidemiological studies that would allow for an estimation of the a priori probability of a serious diagnosis in a dizziness patient presenting to an ER neurologist.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Dizziness in the Emergency Room: Diagnoses and Misdiagnoses

Royl

Ploner²,

Leithner³

2011

Eur Neurol

113

View full text Add to dashboard Cite

Background: Dizziness is among the most frequent neurological chief complaints in emergency room (ER) patients. Although the majority of underlying disorders are benign, serious causes that require immediate in-hospital treatment may occur that are difficult to identify clinically. Methods: Retrospective study of 475 consecutive ER neurological consultations with dizziness as the chief complaint. Results: Of all ER dizziness patients, 73% were initially assigned to benign and 27% to serious diagnoses. The two most frequent disorders were benign paroxysmal positional vertigo (22%) and stroke (20%). On follow-up (available in 124 patients), 43% of all ER diagnoses were corrected: 6% of benign ER diagnoses were corrected to serious diagnoses, 23% of serious ER diagnoses were revised to benign. The most frequent corrections concerned patients with an ER diagnosis of stroke or vestibular neuronitis. Conclusions: In the patient sample studied here, serious causes of dizziness were more prevalent than can be expected from population-based surveys or data from specialized outpatient departments. However, inappropriate assignment of dizziness patients to benign diagnoses still occurred in a relevant proportion of patients. ER clinical pathways, planning of imaging resources and follow-up of patients in- and outside the hospital must take these points into consideration.

show abstract