Current concepts in acute vestibular syndrome and video-oculography.

Mantokoudis, Georgios; Otero-Millan, Jorge; Gold, Daniel R (2022). Current concepts in acute vestibular syndrome and video-oculography. Current opinion in neurology, 35(1), pp. 75-83. Wolters Kluwer Health 10.1097/WCO.0000000000001017

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PURPOSE OF REVIEW

We present here neuro-otological tests using portable video-oculography (VOG) and strategies assisting physicians in the process of decision making beyond the classical 'HINTS' testing battery at the bedside.

RECENT FINDINGS

Patients with acute vestibular syndrome (AVS) experience dizziness, gait unsteadiness and nausea/vomiting. A variety of causes can lead to this condition, including strokes. These patients cannot be adequately identified with the conventional approach by stratifying based on risk factors and symptom type. In addition to bedside methods such as HINTS and HINTS plus, quantitative methods for recording eye movements using VOG can augment the ability to diagnose and localize the lesion. In particular, the ability to identify and quantify the head impulse test (VOR gain, saccade metrics), nystagmus characteristics (waveform, beating direction and intensity), skew deviation, audiometry and lateropulsion expands our diagnostic capabilities. In addition to telemedicine, algorithms and artificial intelligence can be used to support emergency physicians and nonexperts in the future.

SUMMARY

VOG, telemedicine and artificial intelligence may assist physicians in the diagnostic process of AVS patients.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)

UniBE Contributor:

Mantokoudis, Georgios

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1473-6551

Publisher:

Wolters Kluwer Health

Language:

English

Submitter:

Stefan Weder

Date Deposited:

24 Jan 2022 10:14

Last Modified:

05 Dec 2022 16:00

Publisher DOI:

10.1097/WCO.0000000000001017

PubMed ID:

34889806

BORIS DOI:

10.48350/163439

URI:

https://boris.unibe.ch/id/eprint/163439

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