Semin Neurol 2009; 29(5): 482-490
DOI: 10.1055/s-0029-1241036
© Thieme Medical Publishers

Vertigo Presentations in the Emergency Department

Kevin A. Kerber1
  • 1Department of Neurology, University of Michigan Health System, Ann Arbor, Michigan
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Publication History

Publication Date:
15 October 2009 (online)

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ABSTRACT

Vertigo is among the most common reasons that patients present to the emergency department. Even though the cause is typically a benign disorder, management decisions can be challenging because some sinister causes—such as stroke—can mimic benign peripheral vestibular disorders. Fortunately, common benign peripheral vestibular disorders all have characteristic features enabling a bedside diagnosis. Thus the most effective way to “rule-out” a central disorder is to “rule-in” a specific peripheral vestibular disorder. In this article, the author emphasizes the key elements of the bedside examination and describes a method for managing vertigo patients in the emergency department.