Usability of the head impulse test in routine clinical practice in the emergency department to differentiate vestibular neuritis from stroke,European Journal of Neurology

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Usability of the head impulse test in routine clinical practice in the emergency department to differentiate vestibular neuritis from stroke
European Journal of Neurology ( IF 4.5 ) Pub Date : 2020-12-31 , DOI: 10.1111/ene.14707
Björn Machner ₁ , Kira Erber ₂ , Jin Hee Choi ₁ , Peter Trillenberg ₁ , Andreas Sprenger ₁ , Christoph Helmchen ₁

Affiliation

The bedside head impulse test (bHIT) is used to differentiate vestibular neuritis (VN) from posterior circulation stroke (PCS) in patients presenting with acute vestibular syndrome (AVS). If assessed by neuro‐otological experts, diagnostic accuracy is high. We report on its diagnostic accuracy when applied by nonexperts during routine clinical practice in the emergency department (ED), its impact on patient management, and the potential diagnostic yield of the video‐oculography–supported head impulse test (vHIT).

中文翻译：

头部脉冲试验在急诊科常规临床实践中用于区分前庭神经炎和卒中的可用性

床边头部脉冲试验 (bHIT) 用于区分急性前庭综合征 (AVS) 患者的前庭神经炎 (VN) 和后循环卒中 (PCS)。如果由神经耳科专家评估，诊断准确性很高。我们报告了非专家在急诊科 (ED) 常规临床实践中应用时的诊断准确性、其对患者管理的影响以及视频眼影支持的头部脉冲测试 (vHIT) 的潜在诊断率。

更新日期：2020-12-31

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