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Neurotological emergencies: a narrative review.
Alejandro Rivero-de-Aguilar1,2, Andrés Soto-Varela3,4, Marilina Puente-Hernandez5
1Department of Neurology, University Hospital Complex of Pontevedra, Mourente, S/N, 36071, Pontevedra, Spain. alejandro.riverodeaguilar@gmail.com.
Summary
This review categorizes vestibular disorders into acute, recurrent, and chronic syndromes to guide emergency care. A practical algorithm aids physicians in diagnosing and managing vertigo and dizziness, improving patient outcomes.
Area of Science:
- Neurology
- Otorhinolaryngology
Background:
- Vestibular symptoms like vertigo and dizziness are common emergency presentations.
- Causes are diverse, necessitating a systematic diagnostic approach.
- Distinguishing benign from life-threatening conditions is crucial in emergency settings.
Purpose of the Study:
- To provide a practical review of vestibular disorders.
- To guide emergency physicians in managing patients with vestibular symptoms.
- To offer a systematic approach for differential diagnosis.
Main Methods:
- A narrative review methodology was employed.
- Key causes of vestibular disorders were revisited.
- Diagnostic and treatment strategies were examined.
Main Results:
- Vestibular disorders are classified into acute, recurrent, and chronic syndromes based on onset, duration, and history.
- Representative conditions within each category were reviewed.
- A management algorithm for acute care was proposed.
Conclusions:
- Accurate categorization of vestibular disorders is vital to prevent diagnostic errors.
- This review equips clinicians with tools for effective emergency room management of vestibular symptoms.
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