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Lost in the Labyrinth: Predicting Central Neurological Causes of Vertigo Dizziness and Unsteadiness in the Emergency Department. A Multicentre Cross-sectional Observational Study

Lost in the Labyrinth: Predicting Central Neurological Causes of Vertigo Dizziness and Unsteadiness in the Emergency Department. A Multicentre Cross-sectional Observational Study

Recruiting
18 years and older
All
Phase N/A
  • Technical (Original)
  • Simplified (AI rewritten)

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Overview

This study will assess the sensitivity and specificity of the bedside examination algorithm performed by ED physicians. Finally, it aims to identify predictors of a central cause of the symptoms. This will consequently reduce the rate of misdiagnosis as well as the costs and length of stay due to inappropriate neuroimaging.

Eligibility

Inclusion Criteria:

  • Patients presenting at the ED with vertigo, dizziness or unsteadiness
  • \>= 18 years of age
  • Patients able to give their consent

Exclusion Criteria:

  • Patients with dementia
  • Bedridden patients (for causes other than the current symptoms)
  • Patients with obvious neurological findings presenting with vertigo but with suspected stroke at triage

Study details
    ED With Vertigo
    Dizziness
    Unsteadiness

NCT07287891

Fondazione IRCCS Policlinico San Matteo di Pavia

31 January 2026

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