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- Title
Disconnect between charted vestibular diagnoses and emergency department management decisions: a cross-sectional analysis from a nationally representative sample.
- Authors
Newman-Toker, David E; Camargo, Carlos A, Jr; Hsieh, Yu-Hsiang; Pelletier, Andrea J; Edlow, Jonathan A
- Abstract
The most common vestibular disorders seen in the emergency department (ED) are benign paroxysmal positional vertigo (BPPV) and acute peripheral vestibulopathy (APV; i.e., vestibular neuritis or labyrinthitis). BPPV and APV are two very distinct disorders that have different clinical presentations that require different diagnostic and treatment strategies. BPPV can be diagnosed without imaging and is treated with canalith-repositioning maneuvers. APV sometimes requires neuroimaging by magnetic resonance imaging (MRI) to exclude posterior fossa stroke mimics and should be treated with vestibular sedatives and corticosteroids. We sought to determine if emergency physicians (EPs) apply best practices to diagnose and treat these common vestibular disorders.
- Publication
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2009, Vol 16, Issue 10, p970
- ISSN
1553-2712
- Publication type
Journal Article
- DOI
10.1111/j.1553-2712.2009.00523.x