Low incidence of acute actionable imaging findings in emergency department patients imaged for vertigo: Retrospective analysis and proposed guidelines
Neuroimaging frequently yields normal results in ED vertigo cases; acute actionable central findings deemed contributory to vertigo are rare. Only approximately 2% of patients had acute actionable imaging findings and only 1.3% had a stroke. In patients with acute actionable imaging findings, clinical features-especially constant vertigo, acute onset, and abnormal neurological exam-are strongly associated with central causes and should guide selective imaging in the ED.
Authors
- Warren M. Chang
- Matthew Kulzer (ORCID: https://orcid.org/0000-0003-4615-231X)
- Raven D. Spencer (ORCID: https://orcid.org/0000-0002-5062-6699)
- Michael F. Goldberg (ORCID: https://orcid.org/0000-0002-7841-353X)
- Laura B. Eisenmenger (ORCID: https://orcid.org/0000-0001-6764-4239)
- Justin Tepe
- Charles Li (ORCID: https://orcid.org/0000-0003-3463-7942)
- John O’Neill
- Aichi Chien
- Jason Gandhi
Institutions
- Allegheny Health Network (US)
- UCLA Health (US)
- University of Wisconsin Health (US)
Publication Details
- Journal
- Emergency Radiology
- Published
- 2025-12-22
- DOI
- https://doi.org/10.1007/s10140-025-02426-2
- Citations
- 1
- Primary Topic
- Vestibular and auditory disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.84