References
Saber Tehrani AS, Coughlan D, Hsieh YH, Mantokoudis G, Korley FK, Kerber KA, Frick KD, Newman-Toker DE (2013) Rising annual costs of dizziness presentations to U.S. emergency departments. Acad Emerg Med 20:689–696
Newman-Toker DE, McDonald KM, Meltzer DO (2013) How much diagnostic safety can we afford, and how should we decide? A health economics perspective. BMJ Qual Saf 22(Suppl 2):ii11–ii20
Tarnutzer AA, Straumann D (2012) Progress in neuro-otology research in the last year. J Neurol 259:2506–2509
Newman-Toker DE, Kattah JC, Alvernia JE, Wang DZ (2008) Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis. Neurology 70:2378–2385
Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE (2009) HINTS to diagnose stroke in the acute vestibular syndrome. Three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 40(11):3504–3510
Newman-Toker DE, Kerber KA, Hsieh YH, Pula JH, Omron R, Saber Tehrani AS, Mantokoudis G, Hanley DF, Zee DS, Kattah JC (2013) HINTS outperforms ABCD2 to screen for stroke in acute continuous vertigo and dizziness. Acad Emerg Med 20:986–996
Jorns-Haderli M, Straumann D, Palla A (2007) Accuracy of the bedside head impulse test in detecting vestibular hypofunction. J Neurol Neurosurg Psychiatry 78:1113–1118
Newman-Toker DE, Saber Tehrani AS, Mantokoudis G, Pula JH, Guede CI, Kerber KA, Blitz A, Ying SH, Hsieh YH, Rothman RE, Hanley DF, Zee DS, Kattah JC (2013) Quantitative video-oculography to help diagnose stroke in acute vertigo and dizziness: toward an ECG for the eyes. Stroke 44:1158–1161
Machner B, Sprenger A, Fullgraf H, Trillenberg P, Helmchen C (2013) Video-based head impulse test. Importance for routine diagnostics of patients with vertigo. Der Nervenarzt 84:975–983
Acknowledgements
This study was supported in part by the German Federal Ministry of Education and Research (Grant No. 01 EO 0901). We thank Martin Müller for helpful advice and one anonymous reviewer for very helpful and constructive comments.
Conflicts of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest. N. L. received speaker honoraria and travel expenses from Interacoustics, Autronic Reglersysteme GmbH, and MEYTEC GmbH. She is a shareholder and paid consultant of EyeSeeTec GmbH. E. S. is general manager and shareholder of EyeSeeTec GmbH.
Ethical standard
An approval of this survey of physicians on their standard treatment of patients with vertigo does not need an approval by an Institutional Ethics committee.
Author information
Authors and Affiliations
Corresponding author
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Helmchen, C., Machner, B., Lehnen, N. et al. Current state of diagnostic management of acute vertigo: a survey of neurologists in Germany. J Neurol 261, 1638–1640 (2014). https://doi.org/10.1007/s00415-014-7405-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00415-014-7405-9