NL-OMON52153
Completed
Not Applicable
Providing diagnostic accuracy in acute onset, continuous dizziness. - PROVIDE
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- cerebral infarction. Acute Vestibular Syndrome.
- Sponsor
- Haaglanden Medisch Centrum
- Enrollment
- 800
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •\- Acute onset, continuous dizziness, still present at arrival on the ED as the
- •principal reason for the ED visit.
- •\- Presentation within 24 hours after onset of dizziness.
- •\- Age 18 years or older.
- •\- For substudy 1: Presentation at the ED of one of the following centers:
- •Haaglanden Medical Center, Haga Hospital, Jeroen Bosch Hospital or Gelre
- •\- For substudy 1: Early MRI DWI \<48 hours of symptom onset without explanatory
- •\- For substudy 2: Presentation at the ED of the Haga Hospital.
- •\- For substudy 2: Vestibular neuritis as most probable diagnosis as determined
- •by the treating physician on the ED, based on i.a. horizontal\-torsional
Exclusion Criteria
- •\- Clear signs of benign paroxysmal positional vertigo (BPPV) (i.e. acute onset,
- •continuous dizziness successfully treated by canalith repositioning).
- •\- Recognizable recurrent vertigo or acute onset dizziness compatible with a
- •known previous diagnosis of Meniere\*s disease or vestibular migraine;
- •\- New deficits upon neurological examination (i.e. ataxia, dysarthria,
- •spontaneous skew deviation, gaze palsy or lowered state of consciousness (i.e.
- •Glasgow Coma Scale (GCS) score \<14\)). Nystagmus and gait imbalance are allowed.
- •\- Known pregnancy at the time of inclusion.
- •\- Known contra\-indication for MRI (e.g. claustrophobia, non MRI\-compatible
- •pacemaker or ICD).
Outcomes
Primary Outcomes
Not specified
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