A THREE-STEP EXAMINATION IN DIFFERENTIATING PERIPHERAL FROM CENTRAL VERTIGO

Romanian Journal of Neurology, Volume XV, No. 1, 2016

ISSN 1843-8148 | e-ISSN 2069-6094
ISSN-L 1843-8148
DOI: 10.37897/RJN

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Irina Orban, Laura Dumitrescu, Bogdan O. Popescu and Radu Tanasescu

INTRODUCTION

Dizziness is the reason of 10% of emergency department visits (1). The asssessment of acute balance problems and vertigo in the A&E setting or on the ward is often a challenge to the young neurologist. The ideal test to differentiate central from peripheral vertigo should be straightforward, cheap and with both good sensitivity and specificity. What best than a clinical series of tests easy to be performed at the bedside and able to replace brain MRI, when assessing a vestibular syndrome in the acute phase?

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A THREE-STEP EXAMINATION IN DIFFERENTIATING PERIPHERAL FROM CENTRAL VERTIGO