A practical approach to acute vertigo.

  title={A practical approach to acute vertigo.},
  author={Barry M Seemungal and Adolfo Miguel Bronstein},
  journal={Practical neurology},
  volume={8 4},
Patients complaining of symptoms of acute vertigo present a diagnostic challenge for the clinician; the main differential diagnoses are acute unilateral peripheral vestibulopathy ("vestibular neuritis"), cerebellar stroke or migraine. The head impulse test is useful in the acute situation because, of these three diagnostic alternatives, it will only be positive in patients with vestibular neuritis. A history of acute vertigo and hearing loss suggests Ménière's disease but the clinician must be… CONTINUE READING