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Related Experiment Video

Updated: Jun 19, 2026

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane

Published on: August 22, 2025

Vertigo presentations in the emergency department.

Kevin A Kerber¹

¹Department of Neurology, University of Michigan Health System, Ann Arbor, MI 48109-0322, USA. kakerber@umich.edu

Seminars in Neurology

|October 17, 2009

Summary

Vertigo diagnosis in the emergency department can be tricky. This article highlights key bedside examination findings to identify benign peripheral vertigo and rule out serious causes like stroke.

Area of Science:

Neurology
Emergency Medicine
Otolaryngology

Background:

Vertigo is a frequent emergency department complaint.
Differentiating benign peripheral vertigo from central causes like stroke is critical.
Benign peripheral vestibular disorders often present with characteristic clinical features.

Purpose of the Study:

To outline a diagnostic strategy for vertigo in the emergency department.
To emphasize key bedside examination maneuvers for diagnosing peripheral vestibular disorders.
To provide a method for managing vertigo patients effectively.

Main Methods:

Focus on characteristic features of common benign peripheral vestibular disorders.
Systematic bedside examination to "rule-in" peripheral causes.

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Last Updated: Jun 19, 2026

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane

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Published on: August 22, 2025

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm

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Published on: April 28, 2020

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

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Clinical differentiation from central vestibular disorders, including stroke.

Main Results:

Bedside diagnosis of specific peripheral vestibular disorders is feasible.
Characteristic features aid in distinguishing benign from sinister vertigo causes.
Effective management strategies can be implemented based on bedside findings.

Conclusions:

A thorough bedside examination is paramount for accurate vertigo diagnosis in the ED.
Identifying a specific peripheral vestibular disorder effectively rules out central causes.
This approach facilitates confident management of emergency department vertigo presentations.