Kailash Krishnan, Kerolos Bassilious, Erik Eriksen, Philip M Bath, Nikola Sprigg, Sigrun Kierulf Brækken, Hege Ihle-Hansen, Morten Andreas Horn, Else Charlotte Sandset
PURPOSE: Acute vestibular syndrome - vertigo, nausea/vomiting, nystagmus and gait unsteadiness - is common, and differentiating posterior circulation stroke from a peripheral cause can be challenging. The National Institute of Health Stroke Scale (NIHSS) does not include acute vestibular syndrome, and early computed tomography scanning cannot rule out acute ischaemia. A positive Head Impulse-Nystagmus-Test of Skew (HINTS) test suggests posterior circulation stroke in acute vestibular syndrome when any of three signs are present: normal horizontal head impulse, gaze-direction nystagmus or eye skew deviation...
September 2019: European Stroke Journal