{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T16:44:06Z","timestamp":1788194646694,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,6,11]],"date-time":"2022-06-11T00:00:00Z","timestamp":1654905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Exclusion of stroke is the focus of guidelines in the emergency department assessment of acute vertigo, especially with new\u2010onset atrial fibrillation (AF). Early diagnosis of vestibular neuritis (VN) is also important but may be deferred awaiting brain magnetic resonance imaging (MRI) for exclusion of stroke. This may delay potentially beneficial corticosteroid therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To highlight that VN can provoke acute AF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the course of a prospective study of acute vertigo in patients assessable within 24\u2009h of admission, we encountered three patients with acute onset transient AF associated with VN. We performed a detailed neurological examination and quantitated the vestibulo\u2010ocular reflex (VOR) gain with video\u2010oculography. Brain MRI was performed in all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were two men and one woman, aged\u00a058\u201366 (mean 61) years. All patients had typical non\u2010direction\u2010changing rotatory nystagmus and positive head impulse tests. The horizontal VOR gains ranged 0.38\u20130.62 (mean 0.47). Diffusion\u2010weighted MRI within 36\u2009h was normal in all. AF reverted in all three within 24\u2009h.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Acute AF can be precipitated by vertigo such as in VN. In VN, the concurrence of acute AF may distract from the correct neurological diagnosis, delaying potentially beneficial corticosteroid therapy, especially if exclusion of stroke is dependent on MRI, which may be delayed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.15826","type":"journal-article","created":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T02:38:07Z","timestamp":1653359887000},"page":"1429-1434","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Acute vestibular neuritis may provoke atrial fibrillation"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5861-2294","authenticated-orcid":false,"given":"Adam G.","family":"Mirabelli","sequence":"first","affiliation":[{"name":"Epworth Clinical School, Melbourne Medical School, University of Melbourne  Melbourne Victoria 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