{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T05:47:38Z","timestamp":1775713658266,"version":"3.50.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2016,9,13]],"date-time":"2016-09-13T00:00:00Z","timestamp":1473724800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Emerg Med"],"published-print":{"date-parts":[[2016,12]]},"DOI":"10.1186\/s12873-016-0101-6","type":"journal-article","created":{"date-parts":[[2016,9,13]],"date-time":"2016-09-13T00:37:41Z","timestamp":1473727061000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Keep it simple: vascular risk factors and focal exam findings correctly identify posterior circulation ischemia in \u201cdizzy\u201d patients"],"prefix":"10.1186","volume":"16","author":[{"given":"Karen","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea L. C.","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael H.","family":"Llinas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth B.","family":"Marsh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2016,9,13]]},"reference":[{"key":"101_CR1","doi-asserted-by":"publisher","first-page":"2484","DOI":"10.1161\/01.STR.0000240329.48263.0d","volume":"37","author":"KA Kerber","year":"2006","unstructured":"Kerber KA, Brown DL, Lisabeth LD, et al. Stroke among patients with dizziness, vertigo, and imbalance in the emergency department. Stroke. 2006;37:2484\u20137.","journal-title":"Stroke"},{"key":"101_CR2","volume-title":"Neuro-ophthalmology Virtual Education Library: NOVEL. Spencer S. Eccles Health Sciences Library, University of Utah","author":"DE Newman-Toker","year":"2010","unstructured":"Newman-Toker DE. A new approach to the dizzy patient. In: Newman-Toker DE, editor. Neuro-ophthalmology Virtual Education Library: NOVEL. Spencer S. Eccles Health Sciences Library, University of Utah. 2010."},{"key":"101_CR3","doi-asserted-by":"publisher","first-page":"765","DOI":"10.4065\/83.7.765","volume":"83","author":"DE Newman-Toker","year":"2008","unstructured":"Newman-Toker DE, Hsieh YH, Camargo CA, et al. Spectrum of dizziness visits to US emergency departments: cross-sectional analysis from a nationally representative sample. Mayo Clin Proc. 2008;83:765\u201375.","journal-title":"Mayo Clin Proc"},{"key":"101_CR4","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1111\/j.1365-2753.2009.01133.x","volume":"16","author":"KA Kerber","year":"2010","unstructured":"Kerber KA, Fendrick AM. The evidence base for the evaluation and management of dizziness. J Eval Clin Pract. 2010;16:186\u201391.","journal-title":"J Eval Clin Pract"},{"issue":"5","key":"101_CR5","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1016\/j.ajem.2011.02.038","volume":"30","author":"AS Kim","year":"2012","unstructured":"Kim AS, Sidney S, Klingman JG, et al. Practice variation in neuroimaging to evaluate dizziness in the ED. Am J Emerg Med. 2012;30(5):665\u201372.","journal-title":"Am J Emerg Med"},{"key":"101_CR6","doi-asserted-by":"publisher","first-page":"1869","DOI":"10.1212\/WNL.0000000000002141","volume":"85","author":"KA Kerber","year":"2015","unstructured":"Kerber KA, Meurer WJ, Brown DL, et al. Stroke risk stratification in acute dizziness presentations: A prospective imaging-based study. Neurology. 2015;85:1869\u201378.","journal-title":"Neurology"},{"key":"101_CR7","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1007\/s10140-015-1305-x","volume":"22","author":"C Bent","year":"2015","unstructured":"Bent C, Lee PS, Shen PY, et al. Clinical scoring system may improve yield of head CT of non-trauma emergency department patients. Emerg Radiol. 2015;22:511\u20136.","journal-title":"Emerg Radiol"},{"issue":"6","key":"101_CR8","doi-asserted-by":"publisher","first-page":"664","DOI":"10.1016\/S0196-0644(89)80524-4","volume":"18","author":"RD Herr","year":"1989","unstructured":"Herr RD, Zun L, Matthews JJ. A directed approach to the dizzy patient. Ann Emerg Med. 1989;18(6):664\u201372.","journal-title":"Ann Emerg Med"},{"key":"101_CR9","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/j.mayocp.2013.10.026","volume":"89","author":"M Chase","year":"2014","unstructured":"Chase M, Goldstein JN, Selim MH, et al. A prospective pilot study of predictors of acute stroke in emergency department patients with dizziness. Mayo Clin Proc. 2014;89:173\u201380.","journal-title":"Mayo Clin Proc"},{"issue":"9","key":"101_CR10","doi-asserted-by":"publisher","first-page":"E571","DOI":"10.1503\/cmaj.100174","volume":"183","author":"AA Tarnutzer","year":"2011","unstructured":"Tarnutzer AA, Berkowitz AL, Robinson KA, et al. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. Can Med Assoc J. 2011;183(9):E571\u201392.","journal-title":"Can Med Assoc J"},{"issue":"11","key":"101_CR11","doi-asserted-by":"publisher","first-page":"1319","DOI":"10.4065\/82.11.1319","volume":"82","author":"VA Stanton","year":"2007","unstructured":"Stanton VA, Hsieh YH, Camargo Jr CA, et al. Overreliance on symptom quality in diagnosing dizziness: Results of a multicenter survey of emergency physicians. Mayo Clin Proc. 2007;82(11):1319\u201328.","journal-title":"Mayo Clin Proc"},{"key":"101_CR12","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1097\/00063110-199512000-00006","volume":"2","author":"M Cappello","year":"1995","unstructured":"Cappello M, Di Blasi U, Di Piazza L, et al. Dizziness and vertigo in a department of emergency medicine. Eur J Emerg Med. 1995;2:201\u201311.","journal-title":"Eur J Emerg Med"},{"issue":"5","key":"101_CR13","doi-asserted-by":"publisher","first-page":"768","DOI":"10.5811\/westjem.2015.7.26158","volume":"XVI","author":"MV Kene","year":"2015","unstructured":"Kene MV, Ballard DW, Vinson DR, et al. Emergency physician attitudes, preferences, and risk tolerance for stroke as a potential cause of dizziness symptoms. West J Emerg Med. 2015;XVI(5):768\u201375.","journal-title":"West J Emerg Med"},{"issue":"9","key":"101_CR14","doi-asserted-by":"publisher","first-page":"1030","DOI":"10.1016\/j.ajem.2009.06.007","volume":"28","author":"KA Kerber","year":"2010","unstructured":"Kerber KA, Scweigler L, West BT, et al. Value of computed tomography scans in ED dizziness visits: analysis from a nationally representative sample. Am J Emerg Med. 2010;28(9):1030\u20136.","journal-title":"Am J Emerg Med"},{"key":"101_CR15","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1007\/s10140-012-1071-y","volume":"20","author":"C Lawhn-Heath","year":"2013","unstructured":"Lawhn-Heath C, Buckle C, Christoforidis G, et al. Utility of head CT in the evaluation of vertigo\/dizziness in the emergency department. Am Soc Emerg Radiol. 2013;20:45\u20139.","journal-title":"Am Soc Emerg Radiol"},{"key":"101_CR16","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1212\/WNL.0b013e3181e7c9dd","volume":"75","author":"PD Schellinger","year":"2010","unstructured":"Schellinger PD, Bryan RN, Caplan LR, et al. Evidence-based guideline: the role of diffusion and perfusion MRI for the diagnosis of acute ischemic stroke. Neurology. 2010;75:177\u201385.","journal-title":"Neurology"},{"key":"101_CR17","doi-asserted-by":"publisher","first-page":"2426","DOI":"10.1161\/01.STR.0000032244.03134.37","volume":"33","author":"P Schramm","year":"2002","unstructured":"Schramm P, Schellinger PD, Fiebach JB, et al. Comparison of CT and CT angiography source images with diffusion-weighted imaging in patients with acute stroke within 6\u00a0hours after onset. Stroke. 2002;33:2426\u201332.","journal-title":"Stroke"},{"key":"101_CR18","doi-asserted-by":"publisher","first-page":"1597","DOI":"10.1016\/j.ijcard.2012.04.099","volume":"167","author":"A Dedic","year":"2013","unstructured":"Dedic A, ten Kate GJ, Neefjes LA, et al. Coronary CT angiography outperforms calcium imaging in the triage of acute coronary syndrome. Int J Cardiol. 2013;167:1597\u2013602.","journal-title":"Int J Cardiol"},{"key":"101_CR19","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1161\/STROKEAHA.113.003197","volume":"45","author":"AC Dijk van","year":"2014","unstructured":"van Dijk AC, Fonville S, Zadi T, et al. Association between arterial calcifications and nonlacunar and lacunar ischemic strokes. Stroke. 2014;45:728\u201333.","journal-title":"Stroke"},{"issue":"2","key":"101_CR20","doi-asserted-by":"publisher","first-page":"170","DOI":"10.4065\/84.2.170","volume":"84","author":"S Goldfarb","year":"2009","unstructured":"Goldfarb S, McCullough PA, McDermott J, et al. Contrast-induced acute kidney injury: specialty-specific protocols for interventional radiology, diagnostic computed tomography radiology, and interventional cardiology. Mayo Clin Proc. 2009;84(2):170\u20139.","journal-title":"Mayo Clin Proc"},{"key":"101_CR21","first-page":"321","volume-title":"Oxford Textbook of Vertigo and Imbalance","author":"AA Tarnutzer","year":"2013","unstructured":"Tarnutzer AA, Newman-Toker DE. Fits, faints, funny turns, and falls in the differential diagnosis of the dizzy patient. In: Oxford Textbook of Vertigo and Imbalance. 2013. p. 321."},{"key":"101_CR22","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1016\/j.ajem.2011.02.002","volume":"30","author":"M Chase","year":"2012","unstructured":"Chase M, Joyce NR, Camey E, et al. ED patients with vertigo: can we identify clinical factors associated with acute stroke? Am J Emerg Med. 2012;30:587\u201391.","journal-title":"Am J Emerg Med"},{"key":"101_CR23","doi-asserted-by":"publisher","first-page":"3504","DOI":"10.1161\/STROKEAHA.109.551234","volume":"40","author":"JC Kattah","year":"2009","unstructured":"Kattah JC, Talkad AV, Wang DZ, et al. HINTS to diagnose stroke in the acute vestibular syndrome. Stroke. 2009;40:3504\u201310.","journal-title":"Stroke"},{"key":"101_CR24","doi-asserted-by":"publisher","first-page":"2481","DOI":"10.1016\/S0140-6736(15)00391-8","volume":"386","author":"ASV Shah","year":"2015","unstructured":"Shah ASV, Anand A, Sandoval Y, et al. High-sensitivity cardiac troponin I at presentation in patients with suspected acute coronary syndrome: a cohort study. Lancet. 2015;386:2481\u20138.","journal-title":"Lancet"},{"key":"101_CR25","doi-asserted-by":"publisher","first-page":"1080","DOI":"10.1016\/j.mayocp.2012.05.023","volume":"11","author":"BB Navi","year":"2012","unstructured":"Navi BB, Kamel H, Shah MP, et al. Rate and predictors of serious neurologic causes of dizziness in the emergency department. Mayo Clin Proc. 2012;11:1080\u20138.","journal-title":"Mayo Clin Proc"},{"key":"101_CR26","doi-asserted-by":"publisher","first-page":"75","DOI":"10.15441\/ceem.15.026","volume":"2","author":"I Jung","year":"2015","unstructured":"Jung I, Kim J-S. Approach to dizziness in the emergency department. Clin Exp Emerg Med. 2015;2:75\u201388.","journal-title":"Clin Exp Emerg Med"}],"container-title":["BMC Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12873-016-0101-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12873-016-0101-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12873-016-0101-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,2,21]],"date-time":"2017-02-21T09:20:22Z","timestamp":1487668822000},"score":1,"resource":{"primary":{"URL":"http:\/\/bmcemergmed.biomedcentral.com\/articles\/10.1186\/s12873-016-0101-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,13]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["101"],"URL":"https:\/\/doi.org\/10.1186\/s12873-016-0101-6","relation":{},"ISSN":["1471-227X"],"issn-type":[{"value":"1471-227X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,13]]},"article-number":"37"}}