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- Title
Neurological vertigo in the emergency room in pediatric and adult age: systematic literature review and proposal for a diagnostic algorithm.
- Authors
Pellegrino, Noemi; Di Stefano, Vincenzo; Rotondo, Eleonora; Graziosi, Alessandro; Rispoli, Marianna Gabriella; Torrente, Angelo; Lupica, Antonino; Brighina, Filippo; Raucci, Umberto; Parisi, Pasquale
- Abstract
Neurological vertigo is a common symptom in children and adults presenting to the emergency department (ED) and its evaluation may be challenging, requiring often the intervention of different medical specialties. When vertigo is associated with other specific symptoms or signs, a differential diagnosis may be easier. Conversely, if the patient exhibits isolated vertigo, the diagnostic approach becomes complex and only through a detailed history, a complete physical examination and specific tests the clinician can reach the correct diagnosis. Approach to vertigo in ED is considerably different in children and adults due to the differences in incidence and prevalence of the various causes. The aim of this systematic review is to describe the etiopathologies of neurological vertigo in childhood and adulthood, highlighting the characteristics and the investigations that may lead clinicians to a proper diagnosis. Finally, this review aims to develop an algorithm that could represent a valid diagnostic support for emergency physicians in approaching patients with isolated vertigo, both in pediatric and adult age.
- Subjects
VERTIGO diagnosis; ONLINE information services; HOSPITAL emergency services; SYSTEMATIC reviews; PEDIATRICS; SYMPTOMS; DECISION making; DIAGNOSIS; MEDLINE; VERTIGO; NEUROLOGIC examination; ALGORITHMS; CHILDREN; ADULTS; ADOLESCENCE
- Publication
Italian Journal of Pediatrics, 2022, Vol 48, Issue 1, p1
- ISSN
1720-8424
- Publication type
Article
- DOI
10.1186/s13052-022-01313-7