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Review
. 2022 Sep 9:13:999112.
doi: 10.3389/fneur.2022.999112. eCollection 2022.

The pharmacological treatment of acute vestibular syndrome

Pasquale Viola  1 , Federico Maria Gioacchini  2 , Alessia Astorina  1 , Davide Pisani  1 , Alfonso Scarpa  3 , Gianmarco Marcianò  4 , Alessandro Casarella  4 , Emanuele Basile  4 , Vincenzo Rania  4 , Massimo Re  2 , Giuseppe Chiarella  1
Affiliations
Review

The pharmacological treatment of acute vestibular syndrome

Pasquale Viola et al. Front Neurol. .

Abstract

Acute vestibular syndrome (AVS) represents a clinical picture that involves urgent management due to the important procession of symptoms accompanying the event, which can be positively or negatively influenced by therapeutic choices and intervention timing. This forces a differential diagnosis and therapeutic choices to be made in conditions that are not always favorable and often not in the specialist field. In this work, we will examine in detail the pharmacological therapeutic possibilities, correlating them to the differential and, as far as possible, to the etiological diagnosis. In particular, the pharmacological possibilities for the two main conditions we can face will be investigated, namely, vestibular neuritis and posterior circulation stroke.

Keywords: acute vestibular syndrome; pharmacologic treatment; posterior circulation stroke; vertigo; vestibular neuritis.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

    1. Newman-Toker DE, Hsieh YH, Camargo CA Jr, Pelletier AJ, Butchy GT, Edlow JA. Spectrum of dizziness visits to US emergency departments: cross-sectional analysis from a nationally representative sample. Mayo Clin Proc. (2008) 83:765–75. 10.4065/83.7.765 - DOI - PMC - PubMed
    1. Hotson JR, Baloh RW. Acute vestibular syndrome. N Engl J Med. (1998) 339:680–5. 10.1056/NEJM199809033391007 - DOI - PubMed
    1. Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh YH, Newman-Toker DE. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ. (2011) 183:E571–92. 10.1503/cmaj.100174 - DOI - PMC - PubMed
    1. Machner B, Choi JH, Trillenberg P, Heide W, Helmchen C. Risk of acute brain lesions in dizzy patients presenting to the emergency room: who needs imaging and who does not? J Neurol. (2020) 267:126–35. 10.1007/s00415-020-09909-x - DOI - PMC - PubMed
    1. Kerber KA, Brown DL, Lisabeth LD, Smith MA, Morgenstern LB. Stroke among patients with dizziness, vertigo, and imbalance in the emergency department: a population-based study. Stroke. (2006) 37:2484–7. 10.1161/01.STR.0000240329.48263.0d - DOI - PMC - PubMed

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