TY - JOUR
T1 - Opinion and Special Articles
T2 - Remote Evaluation of Acute Vertigo: Strategies and Technological Considerations
AU - Green, Kemar E.
AU - Pogson, Jacob M.
AU - Otero-Millan, Jorge
AU - Gold, Daniel R.
AU - Tevzadze, Nana
AU - Saber Tehrani, Ali S.
AU - Zee, David S.
AU - Newman-Toker, David E.
AU - Kheradmand, Amir
N1 - Publisher Copyright:
© 2020 American Academy of Neurology.
PY - 2021/1/5
Y1 - 2021/1/5
N2 - 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.
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.
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U2 - 10.1212/WNL.0000000000010980
DO - 10.1212/WNL.0000000000010980
M3 - Article
C2 - 33004609
AN - SCOPUS:85099171415
SN - 0028-3878
VL - 96
SP - 34
EP - 38
JO - Neurology
JF - Neurology
IS - 1
ER -