Template:Vertigo workup: Difference between revisions

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[[File:Vertigo_and_Dizziness.jpg|thumb|Diagnostic algorithm Vertigo]]
[[File:Vertigo_and_Dizziness.jpg|thumb|Diagnostic algorithm Vertigo]]
#Glucose check  
#Glucose check  
#Full neuro exam
#Full [[neuro exam]]
#TM exam  
#TM exam  
#[[head CT|CT]]A or [[brain MRI|MRA]] (diagnostic study of choice) of the neck/brain if symptoms consistent with central cause
#[[head CT|CT]]A or [[brain MRI|MRA]] (diagnostic study of choice) of the neck/brain if symptoms consistent with central cause

Latest revision as of 17:27, 11 March 2021

Work-up

Diagnostic algorithm Vertigo
  1. Glucose check
  2. Full neuro exam
  3. TM exam
  4. CTA or MRA (diagnostic study of choice) of the neck/brain if symptoms consistent with central cause
Test Sensitivity
HINTS 100%
MRI (24hrs) 68.40%[1]
MRI (48hrs) 81%[1]
CT non con 26%[2]
  1. 1.0 1.1 http://www.cnsuwo.ca/ebn/downloads/cats/2010/CNS-EBN_cat-document_2010-07-JUL-30_a-negative-dwi-mri-within-48-hours-of-stroke-symptoms-ruled-out-anterior-circulation-stroke_4494E.pdf
  2. Chalela JA, Kidwell CS, Nentwich LM, et al. Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison. Lancet. 2007;369:293–8.