Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome

Tarnutzer, Alexander A.; Berkowitz, Aaron L.; Robinson, Karen A.; Yu-Hsiang Hsieh; Newman-Toker, David E.
June 2011
CMAJ: Canadian Medical Association Journal;6/14/2011, Vol. 183 Issue 9, p1025
Academic Journal
The article focuses on the bedside diagnosis of acute vestibular syndrome. It discusses the systematic review which reveals most common causes of the syndrome namely vestibular neuritis and brainstem ischemic stroke and distinguishing elements between stroke and vestibular neuritis including imbalance, associated risk factors, and chief symptom of dizziness. It mentions on the advantage of utilizing horizontal head impulse test, nystagmus and test of skew (HINT) method in determining stroke.


Related Articles

  • Accuracy of Rapid Point-of-Care Diagnostic Tests for Hepatitis B Surface Antigen-A Systematic Review and Meta-analysis. Khuroo, Mehnaaz S.; Khuroo, Naira S.; Khuroo, Mohammad S. // Experimental & Clinical Hepatology;Aug2014, Vol. 4 Issue 3, p1 

    Background/objective: Rapid point-of-care tests provide plausible diagnostic strategy for hepatitis B surface antigen (HBsAg) in low resource areas. However, their utility depends upon their overall performance. Our objective was to meta-analyze the diagnostic accuracy of rapid point-of-care...

  • Diagnostic Accuracy of Point-of-Care Tests for Detecting Albuminuria. McTaggart, Malcolm P.; Newall, Ronald G.; Hirst, Jennifer A.; Bankhead, Clare R.; Lamb, Edmund J.; Roberts, Nia W.; Price, Christopher P. // Annals of Internal Medicine;4/15/2014, Vol. 160 Issue 8, p550 

    Background: Experts recommend screening for albuminuria in patients at risk for kidney disease. Purpose: To systematically review evidence about the diagnostic accuracy of point-of-care (POC) tests for detecting albuminuria in individuals for whom guidelines recommend such detection. Data...

  • Getting Toes To Go Up. Rubin, Michael // Neurology Alert;Oct2008, Vol. 27 Issue 2, p14 

    JOSEPH FRANCOIS FELIX BABINSKI, A FRENCH NEUROLOgist of Polish descent, first described the phenomenon of the upgoing toe to the French Biological Society in 1896. By applying a noxious stimulus to the sole of the foot (a pinprick), he noted hallux dorsiflexion contralateral to pyramidal tract...

  • POC PT/INR testing: a better choice for patients and providers. Huston, Tim // MLO: Medical Laboratory Observer;Nov2009, Vol. 41 Issue 11, p28 

    The article focuses on point-of-care PT/INR (prothrombin) testing as a part of systematic anticoagulation management (SAM) to prevent and treat strokes. PT/INR tests reduce indirect costs of patient management and increase revenue. The Prothrombin Office-Testing Benefit Evaluation (PROBE) study...

  • Point-of-service tests may complement approach to dry eye patients. White, Darrell E. // Ocular Surgery News;4/25/2014, Vol. 32 Issue 8, p8 

    The article discusses the use of two testing diagnostics, TearLab tear osmolarity and InflammaDry, in the management of dry eye syndrome (DES) or ocular surface disease (OSD). It offers information on the TearLab tear osmolarity test which brought on the first point-of-service test for DES, and...

  • Point-of-care testing may improve accuracy of dry eye diagnosis. Guttman Krader, Cheryl // Ophthalmology Times;Feb2015, Vol. 40 Issue 3, p20 

    The article focuses on the point-of-care tests recommended by Tauber Eye Center medical director Joseph Tauber to help with the diagnosis of dry eye. Topics covered include the advantages of using the blood test for Sjörgren's syndrome, the improvement in the accuracy of dry eye diagnosis...

  • Visual Detection of Human Antibodies Using Sugar Chain-Immobilized Fluorescent Nanoparticles: Application as a Point of Care Diagnostic Tool for Guillain-Barré Syndrome. Shinchi, Hiroyuki; Yuki, Nobuhiro; Ishida, Hideharu; Hirata, Koichi; Wakao, Masahiro; Suda, Yasuo // PLoS ONE;9/17/2015, Vol. 10 Issue 9, p1 

    Sugar chain binding antibodies have gained substantial attention as biomarkers due to their crucial roles in various disorders. In this study, we developed simple and quick detection method of anti-sugar chain antibodies in sera using our previously developed sugar chain-immobilized fluorescent...

  • Evaluating the evidence for the implementation of C-reactive protein measurement in adult patients with suspected lower respiratory tract infection in primary care: a systematic review. Engel, Madelon F; Paling, F P; Hoepelman, A I M; van der Meer, V; Oosterheert, J J // Family Practice;Aug2012, Vol. 29 Issue 4, p383 

    Background. Excessive prescription of antibiotics in patients with lower respiratory tract infection (LRTI) is common in primary care and might be reduced by rapid point-of-care (POC) C-reactive protein (CRP) testing. However, the exact benefits of this test are unclear.Objective. To review the...

  • Interobserver agreement and validity of bedside 'positive signs' for functional weakness, sensory and gait disorders in conversion disorder: a pilot study. Daum, Corinna; Gheorghita, Fulvia; Spatola, Marianna; Stojanova, Vesna; Medlin, Friedrich; Vingerhoets, François; Berney, Alexandre; Gholam-Rezaee, Mehdi; Maccaferri, Giorgio E.; Hubschmid, Monica; Aybek, Selma // Journal of Neurology, Neurosurgery & Psychiatry;Apr2015, Vol. 86 Issue 4, p425 

    Background: Conversion disorder (CD) is no longer a diagnosis of exclusion. The new DSM-V criteria highlight the importance of 'positive signs' on neurological examination. Only few signs have been validated, and little is known about their reliability. Objective: The aim was to examine the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics