Share

October 01, 2020Resident & Fellow Section

Opinion and Special Articles: Remote evaluation of acute vertigo: Strategies and technological considerations

Kemar E. Green, Jacob M. Pogson, Jorge Otero-Millan, Daniel R. Gold, Nana Tevzadze, Ali S. Saber Tehrani, David S. Zee, David E. Newman-Toker, Amir Kheradmand
First published October 1, 2020, DOI: https://doi.org/10.1212/WNL.0000000000010980
Full PDF
Citation
Permissions

Make Comment

See Comments

Downloads
1346

Share

Abstract

Patients with acute vestibular disorders are often a diagnostic challenge for neurologists—especially when the evaluation must be conducted remotely. The clinical dilemma remains: Does the patient have a benign peripheral inner ear problem or a worrisome central vestibular disorder, such as a stroke? The use of a focused history and the virtual HINTS (Head Impulse test, Nystagmus evaluation, and Test of Skew) examination are key steps towards correctly diagnosing and triaging the acute vertiginous patient. When looking for signs of vestibulo-ocular dysfunction, there are important technological and practical considerations for an effective clinical interpretation.

Letters: Rapid online correspondence

  • Author Response: Opinion and Special Articles: Remote Evaluation of Acute Vertigo Strategies and Technological Considerations
    • Kemar E. Green, Assistant Professor of Neurology, Johns Hopkins University School of Medicine
    • Jacob M. Pogson, Postdoctoral Fellow, Audiologist, Johns Hopkins University School of Medicine
    • Jorge Otero-Millan, Assistant Professor of Optometry & Visual Science, University of California- Berkeley School of Optometry
    • Daniel R Gold, Associate Professor of Neurology, Ophthalmology, Neurosurgery, Otolaryngology, Emergency Medicine & Internal Medicine, Johns Hopkins University School of Medicine
    • Nana Tevzadze, Otoneurologist, Johns Hopkins University School of Medicine
    • Ali S Saber Tehrani, Assistant Professor of Neurology, Johns Hopkins University School of Medicine
    • David S Zee, Professor of Neurology, Ophthalmology, Otolaryngology & Neurosciences, Johns Hopkins University School of Medicine
    • David E Newman-Toker, Professor of Neurology, Ophthalmology, Otolaryngology & Emergency Medicine, Johns Hopkins University School of Medicine
    • Amir Kheradmand, Professor of Neurology & Otolaryngology, Johns Hopkins University School of Medicine
    Submitted March 18, 2021
  • Reader Response: Opinion and Special Articles: Remote Evaluation of Acute Vertigo: Strategies and Technological Considerations
    • Carsten Tjell, Retired Senior Consultant, Otoneurologist, Otosurgeon and Audiologist, Formerly affiliated to Sorlandet Hospital
    Submitted February 19, 2021

REQUIREMENTS

If you are uploading a letter concerning an article:
You must have updated your disclosures within six months: http://submit.neurology.org

Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.

If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.

Submission specifications:

  • Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
  • Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
  • Submit only on articles published within 6 months of issue date.
  • Do not be redundant. Read any comments already posted on the article prior to submission.
  • Submitted comments are subject to editing and editor review prior to posting.

More guidelines and information on Disputes & Debates

Compose Comment

More information about text formats

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
NOTE: The first author must also be the corresponding author of the comment.
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Publishing Agreement
NOTE: All authors, besides the first/corresponding author, must complete a separate Publishing Agreement Form and provide via email to the editorial office before comments can be posted.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

You May Also be Interested in

Back to top
Advertisement

Related Articles

Topics Discussed

Alert Me