CLINICAL ASSESSMENT OF PATIENTS WITH ACUTE VESTIBULAR SYNDROME.WHEN TO BE CALM AND WHEN TO HURRY?

Abstract

Every day a lot of patients with vertigo are admitted to emergency departments around the world. Acute vestibular syndrome is characterized by sudden onset of severe, prolonged vertigo with or without a spinning sensation lasting more than 24 hours. Due to the complex organization of the vestibular system, despite the similar clinical presentation, the etiology and pathogenesis of acute vestibular syndrome can be diverse and difficult to diagnose. Due to the fact that it includes both acute conditions such as ischemic stroke, which can lead to disability and death, as well as self-limiting and chronic diseases, it is necessary to apply reliable methods for rapid and precise diagnostics, which can refer high-risk patients for emergency intervention. We present a series of clinical cases of patients with acute vestibular syndrome treated in the neurological clinic of the Heart and Brain Hospital in Pleven.