HINTS to Diagnose Stroke in the Acute Vestibular Syndrome
Johns Hopkins University · Johns Hopkins Medicine · +1 more institution
Abstract
BACKGROUND AND PURPOSE: Acute vestibular syndrome (AVS) is often due to vestibular neuritis but can result from vertebrobasilar strokes. Misdiagnosis of posterior fossa infarcts in emergency care settings is frequent. Bedside oculomotor findings may reliably identify stroke in AVS, but prospective studies have been lacking. METHODS: The authors conducted a prospective, cross-sectional study at an academic hospital. Consecutive patients with AVS (vertigo, nystagmus, nausea/vomiting, head-motion intolerance, unsteady gait) with >or=1 stroke risk factor underwent structured examination, including horizontal head impulse test of vestibulo-ocular reflex function, observation of nystagmus in different gaze…
Citation impact
- FWCI
- 16.49
- Percentile
- 100%
- References
- 27
Authors
5- JCJorge C. KattahCorresponding
Johns Hopkins University, Johns Hopkins Medicine, OSF Saint Francis Medical Center
- ATArun Talkad
Johns Hopkins University, Johns Hopkins Medicine, OSF Saint Francis Medical Center
- DZDavid Z. Wang
Johns Hopkins University, Johns Hopkins Medicine, OSF Saint Francis Medical Center
- YHYu‐Hsiang Hsieh
Johns Hopkins University, Johns Hopkins Medicine, OSF Saint Francis Medical Center
- DEDavid E. Newman‐Toker
Johns Hopkins University, Johns Hopkins Medicine, OSF Saint Francis Medical Center
Topics & keywords
- Medicine
- Nystagmus
- Vertigo
- Stroke (engine)
- Prospective cohort study
- Vestibular system
- Brainstem
- Radiology
- Good health and well-being