Show Summary Details
Page of

Vertigo—Posterior Stroke 

Vertigo—Posterior Stroke
Chapter:
Vertigo—Posterior Stroke
Author(s):

Usama Qadri

DOI:
10.1093/med/9780190865412.003.0030
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 18 November 2019

This case illustrates an evidence-oriented approach to the patient with dizziness. Symptoms of dizziness, lightheadedness, nausea, and vomiting are often described under the umbrella term vestibular syndrome. Since vestibular syndrome can be caused by both less concerning peripheral causes (labyrinthitis, vestibular neuritis) as well as emergent, central causes (posterior stroke), clinicians must try to distinguish between the two. Interestingly, clinical exam findings including a thorough neurological exam with head impulse–nystagmus–tilt of skew (HINTS) testing are superior to imaging for this purpose. For the patient with high suspicion of a central process, the next step is to obtain a head computed tomography to rule out hemorrhage. If no hemorrhage is noted, then the patient should be managed with neurology for a posterior stroke and evaluated for the use of tissue plasminogen activator.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.