Journal
NEUROLOGIC CLINICS
Volume 33, Issue 3, Pages 565-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ncl.2015.04.009
Keywords
Dizziness; Vestibular disorder; Vertigo; Management
Categories
Funding
- National Institutes of Health, National Institute on Deafness and Other Communication Disorders [1U01DC013778-01A1]
- NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS [U01DC013778] Funding Source: NIH RePORTER
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This article highlights 5 pitfalls in the diagnosis of common vestibular disorders: (1) overreliance on dizziness symptom type to drive diagnostic inquiry; (2) underuse and misuse of timing and triggers to categorize patients; (3) underuse, misuse, and misconceptions linked to hallmark eye examination findings; (4) overweighting age, vascular risk factors, and neurologic examination to screen for stroke; and (5) overuse and overreliance on head computed tomography to rule out neurologic causes. This article discusses the evidence base describing each pitfall's frequency and likely causes, and potential alternative strategies that might be used to improve diagnostic accuracy or mitigate harms.
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