Acute dizziness in the emergency department: trends, diagnostic challenges and stroke mimics among thrombolysed patients
ED admissions for acute dizziness are rising, with increased IVT use but stable stroke incidence, leading to higher rates of stroke mimics. Incomplete bedside examinations and emphasis on faster DNT may contribute to misclassification. Standardized dizziness protocols, mandatory use of HINTS by trained clinicians, and stronger cross-specialty collaboration are needed to improve diagnostic accuracy while preserving timely stroke treatment.
Authors
- Soffien Chadli Ajmi (ORCID: https://orcid.org/0000-0002-4751-5664)
- Thomas Bailey Tysland (ORCID: https://orcid.org/0000-0002-1305-0408)
- Mehdi Rezai (ORCID: https://orcid.org/0000-0002-8267-6818)
- Martin Kurz (ORCID: https://orcid.org/0000-0001-8853-4450)
- Frederik Kragerud Goplen (ORCID: https://orcid.org/0000-0002-8022-9483)
- Øistein R Mjelva
- Natascha Wathne
Institutions
- Stavanger University Hospital (NO)
- Haukeland University Hospital (NO)
- University of Bergen (NO)
Publication Details
- Journal
- Frontiers in Neurology
- Published
- 2026-02-17
- DOI
- https://doi.org/10.3389/fneur.2026.1735022
- Primary Topic
- Vestibular and auditory disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00