Neurological vertigo in the emergency room in pediatric and adult age: systematic literature review and proposal for a diagnostic algorithm.
Noemi PellegrinoVincenzo Di StefanoEleonora RotondoAlessandro GraziosiMarianna Gabriella RispoliAngelo TorrenteAntonino LupicaFilippo BrighinaUmberto RaucciPasquale ParisiPublished in: Italian journal of pediatrics (2022)
Neurological vertigo is a common symptom in children and adults presenting to the emergency department (ED) and its evaluation may be challenging, requiring often the intervention of different medical specialties. When vertigo is associated with other specific symptoms or signs, a differential diagnosis may be easier. Conversely, if the patient exhibits isolated vertigo, the diagnostic approach becomes complex and only through a detailed history, a complete physical examination and specific tests the clinician can reach the correct diagnosis. Approach to vertigo in ED is considerably different in children and adults due to the differences in incidence and prevalence of the various causes. The aim of this systematic review is to describe the etiopathologies of neurological vertigo in childhood and adulthood, highlighting the characteristics and the investigations that may lead clinicians to a proper diagnosis. Finally, this review aims to develop an algorithm that could represent a valid diagnostic support for emergency physicians in approaching patients with isolated vertigo, both in pediatric and adult age.
Keyphrases
- emergency department
- systematic review
- case report
- young adults
- healthcare
- public health
- risk factors
- machine learning
- childhood cancer
- randomized controlled trial
- deep learning
- physical activity
- primary care
- palliative care
- depressive symptoms
- mental health
- meta analyses
- early life
- adverse drug
- blood brain barrier
- sleep quality
- emergency medical
- electronic health record