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

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.

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