Application of bedside HINTS, ABCD² score and truncal ataxia to differentiate cerebellar-brainstem stroke from vestibular neuritis in the emergency room.

ABSTRACT:

Background and purpose

Acute vestibular syndrome (AVS) typically manifests as isolated dizziness or vertigo with no apparent neurological impairments. However, distinguishing life-threatening stroke from innocuous peripheral vestibular lesions in the emergency room (ER) remains challenging. This study aimed to explore the ability of the head impulse-nystagmus-test of skew (HINTS) combined with truncal ataxia or ABCD² score to differentiate stroke from peripheral vestibular disease in patients with AVS in the ER.

Methods

We prospectively recruited 121 patients with AVS from December 2022 to June 2023, 69 of whom presented with vestibular neuritis (VN) and the remaining with posterior circulation stroke (PCS). We analysed the HINTS results, truncal ataxia and ABCD

SUBMITTER: Liu X 

PROVIDER: S-EPMC11791636 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature