{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T08:22:08Z","timestamp":1791534128538,"version":"4.3.4"},"reference-count":21,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Neurol"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>&lt;i&gt;Background:&lt;\/i&gt; Dizziness is among the most frequent neurological chief complaints in emergency room (ER) patients. Although the majority of underlying disorders are benign, serious causes that require immediate in-hospital treatment may occur that are difficult to identify clinically. &lt;i&gt;Methods:&lt;\/i&gt; Retrospective study of 475 consecutive ER neurological consultations with dizziness as the chief complaint. &lt;i&gt;Results:&lt;\/i&gt; Of all ER dizziness patients, 73% were initially assigned to benign and 27% to serious diagnoses. The two most frequent disorders were benign paroxysmal positional vertigo (22%) and stroke (20%). On follow-up (available in 124 patients), 43% of all ER diagnoses were corrected: 6% of benign ER diagnoses were corrected to serious diagnoses, 23% of serious ER diagnoses were revised to benign. The most frequent corrections concerned patients with an ER diagnosis of stroke or vestibular neuronitis. &lt;i&gt;Conclusions:&lt;\/i&gt; In the patient sample studied here, serious causes of dizziness were more prevalent than can be expected from population-based surveys or data from specialized outpatient departments. However, inappropriate assignment of dizziness patients to benign diagnoses still occurred in a relevant proportion of patients. ER clinical pathways, planning of imaging resources and follow-up of patients in- and outside the hospital must take these points into consideration.<\/jats:p>","DOI":"10.1159\/000331046","type":"journal-article","created":{"date-parts":[[2011,10,6]],"date-time":"2011-10-06T06:48:05Z","timestamp":1317883685000},"page":"256-263","source":"Crossref","is-referenced-by-count":123,"title":["Dizziness in the Emergency Room: Diagnoses and Misdiagnoses"],"prefix":"10.1159","volume":"66","author":[{"given":"Georg","family":"Royl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph J.","family":"Ploner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Leithner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2011,10,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1001%2Farchinte.168.19.2118"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00115-010-3020-x"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10072-008-0864-y"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1553-2712.2008.00035.x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.jemermed.2008.03.039"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1553-2712.2008.00189.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1212%2F01.wnl.0000238500.02302.b4"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1056%2FNEJM199809033391007"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1161%2FSTROKEAHA.109.551234"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3950%2Fjibiinkoka.108.842"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3109%2F00016489.2010.486800"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1055%2Fs-0029-1220445"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1161%2F01.STR.0000240329.48263.0d"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1136%2Femj.2009.078014"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.annemergmed.2010.06.559"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.jstrokecerebrovasdis.2008.05.002"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.4065%2F82.11.1313"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.4065%2F83.2.253"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.4065%2F83.2.254"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016%2FS0140-6736%2882%2991580-X"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1159%2F000235989"}],"container-title":["European Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/331046","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/331046","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/331046","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:35:32Z","timestamp":1745433332000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000331046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":21,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2011,11,1]]},"published-print":{"date-parts":[[2011,11,25]]}},"URL":"https:\/\/doi.org\/10.1159\/000331046","archive":["Portico"],"relation":{},"ISSN":["0014-3022","1421-9913"],"issn-type":[{"value":"0014-3022","type":"print"},{"value":"1421-9913","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011]]}}}