Blood biomarkers for the differentiation between central and peripheral vertigo in the emergency department: a systematic review and meta-analysis
CONCLUSIONS: This systematic review and meta-analysis highlights the potential of generalized inflammatory markers and brain-specific blood protein markers of NSE and S100β as diagnostic biomarkers for central from peripheral differentiation in AVS. These results, as a complement to clinical characteristics, provide guidance for future large-scale diagnostic research, in this challenging ED patient population.PMID:38403938 | DOI:10.1111/acem.14864 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 26, 2024 Category: Emergency Medicine Authors: Vincent W Klokman Fiona N Koningstein Job W W Dors Marieke S Sanders Sam W Koning Dominique P V de Kleijn Kim E Jie Source Type: research

Blood biomarkers for the differentiation between central and peripheral vertigo in the emergency department: a systematic review and meta-analysis
CONCLUSIONS: This systematic review and meta-analysis highlights the potential of generalized inflammatory markers and brain-specific blood protein markers of NSE and S100β as diagnostic biomarkers for central from peripheral differentiation in AVS. These results, as a complement to clinical characteristics, provide guidance for future large-scale diagnostic research, in this challenging ED patient population.PMID:38403938 | DOI:10.1111/acem.14864 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 26, 2024 Category: Emergency Medicine Authors: Vincent W Klokman Fiona N Koningstein Job W W Dors Marieke S Sanders Sam W Koning Dominique P V de Kleijn Kim E Jie Source Type: research

Clinical Efficacy of Ultrasound-Guided Acupuncture in the Treatment of Chronic Subjective Dizziness
CONCLUSION: Ultrasound-guided acupuncture is effective in the treatment of chronic subjective dizziness, helping to relieve dizziness symptoms, and actively improving patients' mood, sleep, and quality of life, it merits clinical advancement.PMID:38401072 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - February 24, 2024 Category: Complementary Medicine Authors: Shuqin Lin Dejin Wang Jiamei Yan Haifeng Wang Source Type: research

Benign paroxysmal positional vertigo without dizziness is common in people presenting to falls clinics
CONCLUSIONS: Benign paroxysmal positional vertigo is common in people attending falls clinics and contributes to falls risk. Dizziness is common in BPPV though 26% or 1 in 4 people testing positive were not dizzy and would be missed without mandatory testing. Testing should also include all semicircular canals as multiple-canal involvement was high.PMID:38400731 | DOI:10.1080/09638288.2024.2320271 (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - February 24, 2024 Category: Rehabilitation Authors: Susan Hyland Lyndon J Hawke Nicholas F Taylor Source Type: research

Clinical Efficacy of Ultrasound-Guided Acupuncture in the Treatment of Chronic Subjective Dizziness
CONCLUSION: Ultrasound-guided acupuncture is effective in the treatment of chronic subjective dizziness, helping to relieve dizziness symptoms, and actively improving patients' mood, sleep, and quality of life, it merits clinical advancement.PMID:38401072 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - February 24, 2024 Category: Complementary Medicine Authors: Shuqin Lin Dejin Wang Jiamei Yan Haifeng Wang Source Type: research

Benign paroxysmal positional vertigo without dizziness is common in people presenting to falls clinics
CONCLUSIONS: Benign paroxysmal positional vertigo is common in people attending falls clinics and contributes to falls risk. Dizziness is common in BPPV though 26% or 1 in 4 people testing positive were not dizzy and would be missed without mandatory testing. Testing should also include all semicircular canals as multiple-canal involvement was high.PMID:38400731 | DOI:10.1080/09638288.2024.2320271 (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - February 24, 2024 Category: Rehabilitation Authors: Susan Hyland Lyndon J Hawke Nicholas F Taylor Source Type: research

Clinical Efficacy of Ultrasound-Guided Acupuncture in the Treatment of Chronic Subjective Dizziness
CONCLUSION: Ultrasound-guided acupuncture is effective in the treatment of chronic subjective dizziness, helping to relieve dizziness symptoms, and actively improving patients' mood, sleep, and quality of life, it merits clinical advancement.PMID:38401072 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - February 24, 2024 Category: Complementary Medicine Authors: Shuqin Lin Dejin Wang Jiamei Yan Haifeng Wang Source Type: research

Clinical Efficacy of Ultrasound-Guided Acupuncture in the Treatment of Chronic Subjective Dizziness
CONCLUSION: Ultrasound-guided acupuncture is effective in the treatment of chronic subjective dizziness, helping to relieve dizziness symptoms, and actively improving patients' mood, sleep, and quality of life, it merits clinical advancement.PMID:38401072 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - February 24, 2024 Category: Complementary Medicine Authors: Shuqin Lin Dejin Wang Jiamei Yan Haifeng Wang Source Type: research

Clinical Efficacy of Ultrasound-Guided Acupuncture in the Treatment of Chronic Subjective Dizziness
CONCLUSION: Ultrasound-guided acupuncture is effective in the treatment of chronic subjective dizziness, helping to relieve dizziness symptoms, and actively improving patients' mood, sleep, and quality of life, it merits clinical advancement.PMID:38401072 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - February 24, 2024 Category: Complementary Medicine Authors: Shuqin Lin Dejin Wang Jiamei Yan Haifeng Wang Source Type: research

Audiovestibular adverse events following COVID-19 vaccinations
CONCLUSIONS: This study is the first to demonstrate an increase in general practice presentations of vertigo following mRNA vaccines (RI = 1.40, P <.001), and tinnitus following both the Vaxzevria® adenovirus vector and mRNA vaccines (RI = 2.25, P <.001 and 1.53, P <.001 respectively). There was no increase in hearing loss following any COVID-19 vaccinations. Our study, however, was unable to account for the potential of concurrent COVID-19 infections, which literature has indicated to be associated with audiovestibular events. Healthcare providers and vaccinees should be alert to potential audiovestibular compla...
Source: Vaccine - February 23, 2024 Category: Allergy & Immunology Authors: Aishwarya N Shetty Hannah J Morgan Linny K Phuong John Mallard Diana Vlasenko Christopher Pearce Nigel W Crawford Jim P Buttery Hazel J Clothier Source Type: research

Audiovestibular adverse events following COVID-19 vaccinations
CONCLUSIONS: This study is the first to demonstrate an increase in general practice presentations of vertigo following mRNA vaccines (RI = 1.40, P <.001), and tinnitus following both the Vaxzevria® adenovirus vector and mRNA vaccines (RI = 2.25, P <.001 and 1.53, P <.001 respectively). There was no increase in hearing loss following any COVID-19 vaccinations. Our study, however, was unable to account for the potential of concurrent COVID-19 infections, which literature has indicated to be associated with audiovestibular events. Healthcare providers and vaccinees should be alert to potential audiovestibular compla...
Source: Vaccine - February 23, 2024 Category: Allergy & Immunology Authors: Aishwarya N Shetty Hannah J Morgan Linny K Phuong John Mallard Diana Vlasenko Christopher Pearce Nigel W Crawford Jim P Buttery Hazel J Clothier Source Type: research

Stereotactic radiosurgery for Koos grade IV vestibular schwannoma: a systematic review and meta-analysis
ConclusionsOur systematic review and meta-analysis demonstrated a high overall tumor control rate, excellent facial nerve preservation, and low incidence of new-onset or worsened tinnitus and vertigo. However, several drawbacks associated with SRS should be noted, such as the presence of post-SRS hydrocephalus risk, mediocre long-term hearing preservation, and the lack of immediate tumor decompression. Nevertheless, the use of SRS may be beneficial in appropriately selected cases of Koos-IV VS. Moreover, further prospective studies directly comparing SRS with surgery are necessary to determine the optimal treatment for lar...
Source: Acta Neurochirurgica - February 23, 2024 Category: Neurosurgery Source Type: research

Radial Artery Sheath Entrapment and  Avulsion
A 58-year-old woman presented to hospital with symptoms of vertigo and dysarthria. A computed tomography (CT) of the head and CT angiography of the head and neck were performed, which revealed a complete occlusion of the basilar artery. A stroke code was activated, and the patient was promptly brought to the angiographic suite for endovascular thrombectomy. (Source: Journal of Vascular and Interventional Radiology : JVIR)
Source: Journal of Vascular and Interventional Radiology : JVIR - February 21, 2024 Category: Radiology Authors: Mohammad Ghasemi-Rad, Ravi Shastri Tags: Lessons in IR: M & Source Type: research

Feasibility of video-based real-time nystagmus tracking: a lightweight deep learning model approach using ocular object segmentation
ConclusionThe potential of our model, which can automatically segment ocular regions and track nystagmus in real time from eye movement videos, holds significant promise for emergency settings or remote intervention within the field of neurotology. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - February 21, 2024 Category: Neurology Source Type: research

Clinical characteristics and lateralization of the horizontal semicircular canal light cupula
ConclusionBesides utilizing the NP to determine the affected side, the fast phase direction of the bow nystagmus or lean nystagmus can also aid in identification. However, a simple comparison of the intensity of DCPN in SRT cannot provide accurate lateralization, especially in patients with supine positioning nystagmus. There is a high incidence of CP on the affected side of the light cupula. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - February 21, 2024 Category: Neurology Source Type: research