Abstract：
BACKGROUND: Patients presenting to the emergency department with acute vertigo pose a diagnostic challenge. While \'benign\' peripheral vestibulopathy is the most common cause, the possibility of a posterior circulation stroke is paradoxically the most feared and missed diagnosis in the emergency department.
OBJECTIVE: This review will attempt to cover the significant advances in the ability to diagnose acute vertigo that have occurred in the last two decades. The review discusses the role of neurological examinations, imaging and specific oculomotor examinations. The review then discusses the relative attributes of the Head Impulse-Nystagmus-Test of Skew plus hearing (\'HINTS+\') examination, the timing, triggers and targeted bedside eye examinations (\'TiTrATE\'), the associated symptoms, timing and triggers, examination signs and testing (\'ATTEST\') algorithm, and the spontaneous nystagmus, direction, head impulse testing and standing (\'STANDING\') algorithm. The most recent technological advancements in video-oculography guided care are discussed, as well as other potential advances for clinicians to look out for.
OBJECTIVE: This review will attempt to cover the significant advances in the ability to diagnose acute vertigo that have occurred in the last two decades. The review discusses the role of neurological examinations, imaging and specific oculomotor examinations. The review then discusses the relative attributes of the Head Impulse-Nystagmus-Test of Skew plus hearing (\'HINTS+\') examination, the timing, triggers and targeted bedside eye examinations (\'TiTrATE\'), the associated symptoms, timing and triggers, examination signs and testing (\'ATTEST\') algorithm, and the spontaneous nystagmus, direction, head impulse testing and standing (\'STANDING\') algorithm. The most recent technological advancements in video-oculography guided care are discussed, as well as other potential advances for clinicians to look out for.
摘要：
背景：急诊就诊的急性眩晕患者构成了诊断挑战。虽然“良性”外周前庭病是最常见的原因，后循环卒中的可能性自相矛盾是急诊科最担心和漏诊的。
目的：这篇综述将试图涵盖过去二十年来在诊断急性眩晕能力方面的重大进展。这篇综述讨论了神经系统检查的作用，影像学和特定的动眼检查。然后，该评论讨论了头部冲动-眼球震颤-倾斜测试加听力（\'HINTS\'）检查的相对属性，时间,触发器和有针对性的床边眼部检查（\'TiTrATE\'），相关症状，定时和触发器，检查标志和测试（“ATTEST”）算法，和自发的眼球震颤,方向,头部脉冲测试和站立(\'standing\')算法。讨论了视频眼图引导护理的最新技术进步，以及临床医生需要注意的其他潜在进展。
目的：这篇综述将试图涵盖过去二十年来在诊断急性眩晕能力方面的重大进展。这篇综述讨论了神经系统检查的作用，影像学和特定的动眼检查。然后，该评论讨论了头部冲动-眼球震颤-倾斜测试加听力（\'HINTS\'）检查的相对属性，时间,触发器和有针对性的床边眼部检查（\'TiTrATE\'），相关症状，定时和触发器，检查标志和测试（“ATTEST”）算法，和自发的眼球震颤,方向,头部脉冲测试和站立(\'standing\')算法。讨论了视频眼图引导护理的最新技术进步，以及临床医生需要注意的其他潜在进展。
