The Prospective Investigation of Patients with Vertigo in Emergency Department

Vertigo is one of the most common complaints as well as the most frequent reason for referral to emergency departments and outpatient clinics and because of this it is important to study the etiology of this complaint. In this study, the patients who applied to an university hospital emergency department between 24.10.2017-01.05.2018 with vertigo were studied prospectively. It was aimed to determine the central causes of the applicants who had been dizzy. In our study; acute-subacute infarction was found in brain MRI in 7,7% of patients with positive Romberg test, 15,8% of patients with dysmetria and 16,7% of patients with dysdiadokinezia. Acute-subacute infarction was found in 3 patients (6,7%) of 45 patients without nystagmus, while no acute-subacute infarction was detected in any of the 5 patients with horizontal nystagmus (0%). When evaluating vertigo patients, the careful examination of neurological symptoms is essential for not missing central vertigo causes