ArticleEuropean journal of neurology2024
Do monosymptomatic stroke patients with dizziness present a vestibular syndrome without nystagmus? An underestimated entity.
Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Epidemiology and Clinical Presentation of the Acute Imbalance Syndrome (AIS)-A Systematic Review and Meta-Analysis.European journal of neurology · 2026Pooled it
- The epidemiology and clinical presentation of acute vestibular syndromes: a systematic review of the literature.Journal of neurology · 2026Pooled it
- Dizziness in the emergency department and risk of stroke: A systematic review and meta-analysis.PloS one · 2026Pooled it
- An update on neuro-otology and neuro-ophthalmology - focusing on new developments in the last three years.Journal of neurology · 2026Review
- Imaging suspected posterior circulation stroke in the emergency department: a practical modality-based review.Emergency radiology · 2026Review
- [Vertigo and oculomotor disorders: diagnosis, anatomical classification and etiology].Die Ophthalmologie · 2026Review
- Diagnostic challenges in posterior circulation ischemic stroke presenting with acute dizziness and vertigo.Frontiers in neurology · 2026Review
- Prevalence of Stroke and Diagnostic Performance of Emergency MRI in Acute Isolated Dizziness.Annals of clinical and translational neurology · 2025Article
- Vestibular event monitoring in acute posterior circulation stroke: from emergency room to stroke unit and beyond.Journal of neurology · 2025Article
- Prospective quantitative evaluation of gait and stance in patients with acute vertigo and dizziness.Journal of neurology · 2025Article
- Acute vestibular syndrome induced by supratentorial stroke: clinical features and network compensation mechanisms.Frontiers in neurology · 2025Article
- Performing the HINTS-exam using a mixed-reality head-mounted display in patients with acute vestibular syndrome: a feasibility study.Frontiers in neurology · 2025Article
- R-cVR, a two-step bedside algorithm for the differential diagnosis of acute dizziness and vertigo.Heliyon · 2024Article
- Acute truncal ataxia without nystagmus.European journal of neurology · 2024Article
- Do monosymptomatic stroke patients with dizziness present a vestibular syndrome without nystagmus? An underestimated entity.European journal of neurology · 2024Article
- Risk stratification for stroke in acute persistent vertigo: development and internal validation of a multivariable prediction model.Frontiers in neurologyArticle
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9 authors.
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Abstract
background and purposeVestibular symptoms are common in emergency department (ED) patients and have various causes, including stroke. Accurate identification of stroke in patients with vestibular symptoms is crucial for timely management. We conducted a prospective cross-sectional study from 2015 to 2019 to determine stroke prevalence and associated symptoms in ED patients with vestibular symptoms, aiming to improve diagnosis and outcomes.
methodsAs part of the DETECT project, we screened 1647 ED patients with acute vestibular symptoms. Following a retrospective analysis of 961 head and neck magnetic resonance imaging (MRI) scans, we included 122 confirmed stroke cases and assessed them for vestibular signs and symptoms.
resultsStroke prevalence in dizzy patients was 13% (122/961 MRI scans). Most patients (95%) presented with acute vestibular symptoms with or without nystagmus, whereas 5% had episodic vestibular syndrome (EVS). Nystagmus was present in 50% of stroke patients. Eighty percent had a purely posterior circulation stroke, and nystagmus was absent in 46% of these patients. Seven patients (6%) had lesions in both the anterior and posterior circulation. Vertigo was experienced by 52% regardless of territory.
conclusionsA stroke was identified in 13% of ED patients presenting with acute vestibular symptoms. In 5%, it was EVS. Most strokes were in the posterior circulation territory; vertigo occurred with similar frequency in anterior and posterior circulation stroke, and absence of nystagmus was common in both.
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