EM Cases · Vertigo and dizziness
Acute vestibular syndrome — HINTS vs stroke
ACEM Fellowship station on HINTS, BPPV distinction, and posterior circulation stroke pathway.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Continuous vertigo with inability to walk; HINTS suggests central; CT head 'normal' false reassurance.
Station brief
Format. Clinical station.
References2ShowHide
- [1]Kattah JC, et al. HINTS to diagnose stroke in the acute vestibular syndrome. Stroke, 2009.PMID 19762709
- [2]Tarnutzer AA, Berkowitz AL, Robinson KA, et al. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ, 2011.PMID 21576300