cerebral infarction. Acute Vestibular Syndrome. Stroke
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Acute onset, continuous dizziness, still present at arrival on the ED as the principal reason for the ED visit. - Presentation within 24 hours after onset of dizziness. - Age 18 years or older. - For substudy 1: Presentation at the ED of one of the following centers: Haaglanden Medical Center, Haga Hospital, Jeroen Bosch Hospital or Gelre Hospital. - For substudy 1: Early MRI DWI
Exclusion criteria
Exclusion criteria: - Clear signs of benign paroxysmal positional vertigo (BPPV) (i.e. acute onset, continuous dizziness successfully treated by canalith repositioning). - Recognizable recurrent vertigo or acute onset dizziness compatible with a known previous diagnosis of Meniere*s disease or vestibular migraine; - New deficits upon neurological examination (i.e. ataxia, dysarthria, spontaneous skew deviation, gaze palsy or lowered state of consciousness (i.e. Glasgow Coma Scale (GCS) score
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint is final diagnosis by the expert panel after three months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints are health care costs, sensitivity/specificity of early (72 hours and | — |
Countries
Netherlands