RT Journal Article
SR Electronic
T1 Opinion and Special Articles: Remote evaluation of acute vertigo: Strategies and technological considerations
JF Neurology
JO Neurology
FD Lippincott Williams & Wilkins
SP 10.1212/WNL.0000000000010980
DO 10.1212/WNL.0000000000010980
A1 Green, Kemar E.
A1 Pogson, Jacob M.
A1 Otero-Millan, Jorge
A1 Gold, Daniel R.
A1 Tevzadze, Nana
A1 Saber Tehrani, Ali S.
A1 Zee, David S.
A1 Newman-Toker, David E.
A1 Kheradmand, Amir
YR 2020
UL http://n.neurology.org/content/early/2020/10/01/WNL.0000000000010980.abstract
AB 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.