wersja polska  
Mediton - Publishing House
Start page  Journals  Books  Conferences  News  Mediton  Contact   
   Journals
print this
   Otorhinolaryngology - archive  

Allergy Asthma Immunology
Otorhinolaryngology
     Archive
     Editorial staff
     Editorial board
     For authors
     Subscription
Allergology Review



 Search in articles:
  Patronage of the Polish Society of Audiology and Phoniatrics




vol 13. no 1. March 2014  
 TABLE OF CONTENT

 Review articles
Acute Vestibular Syndrome – is it a stroke? Bedside examination as a keystone of differential diagnosis
Beata Błażejewska-Hyżorek

Acute vestibular syndrome (AVS) is characterized by rapid onset
of vertigo, nausea/vomiting, and gait unsteadiness in association
with head motion intolerance and nystagmus. Most of the affected
patients show signs of acute peripheral vestibulopathy.
The peripheral causes of AVS include acute vestibular neuritis,
Meniere’s disease, and migraine. Recent studies have shown that
cerebellar and brainstem infarctions that resemble preipheral
AVS are more common than previously thought, while they
are not accompanied by symptoms of central nervous system
involvement. From the clinical perspective it is important to
distinguish between vascular-related central AVS and peripheral
AVS because therapeutic strategy and prognosis for those two
conditions are different. Three-step bedside oculomotor examination
with head impulse test and assessment of nystagmus
and skew deviation is more sensitive for stroke than early MRI
and is the most useful tool for differentiating the central from
the peripheral AVS.

keywords: ostry zespół przedsionkowy, udar móżdżku i pnia mózgu, HINTS, oczopląs, test pchnięcia głową, skośneodchylenie gałek ocznych, acute vestibular syndrome, cerebellar and brainstem stroke, HINTS, head impulse test, nystagmus, skew deviation

pages: from 12 to 16



estimated time of download (117 kB)
broadband speed:561282565121024[kbps]
time:248532[sec]


You need to have Adobe Acrobat Reader to view the PDF file. It's free. If you don't have the Adobe Acrobat Reader plugin yet, you can get it HERE.


Start page | Journals | Books | Conferences | News | Mediton | Contact

Copyright © 1996-2020 Mediton Publishing House | All rights reserved.