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June 14, 2026Nippon Jibiinkoka Tokeibugeka Gakkai Kaiho(Tokyo)Open Access

International Session 5  Equilibrium Research

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Authors

CÖChair:Nuri ÖzgirginBayındır HastanesiTTTakeshi TsutsumiShanghai Institute for Science of Science

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Overview

Randomized trial evaluates management and diagnostic gaps in dizziness in the emergency department, indicating educational needs.

Key Points

  • This research aims to explore the underlying causes of residual dizziness in BPPV and assess the application of symptom-based diagnostics in emergency settings.
  • Retrospective review of dizziness visits to an emergency department from January to December 2024 with N=442.
  • Classification of cases into acute vestibular syndrome, triggered episodic vestibular syndrome, spontaneous episodic vestibular syndrome, or indeterminate.
  • Assessment of documentation for bedside examinations and diagnostic tests including HINTS and positional testing.
  • In the study cohort, 18.6% were classified as acute vestibular syndrome, 42.5% as triggered episodic vestibular syndrome, 12.0% as spontaneous episodic vestibular syndrome, and 26.9% as indeterminate.
  • Documentation of HINTS was found in only 19.5% of acute vestibular syndrome cases, with MRI conducted in 35.8%.
  • Positional testing was infrequently documented for triggered episodic vestibular syndrome cases.

Cite This Study

Özgirgin et al. (2026) studied this question.

synapsesocial.com/papers/6a2e4524b1cc60ccdea8a614https://doi.org/10.3950/jibiinkotokeibu.129.4_548
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Otolithic functions in patients with residual dizziness after successful repositioning manoeuvres for unilateral posterior canal BPPV2024 · 4 citations
  2. 2Editorial: Challenges and current research status of vertigo/vestibular diseases, volume III2025
  3. 3Vestibular Rehabilitation for Chronic Dizziness: Diagnostic Tool Performance, Intervention Effectiveness, and Determinants Across Vestibular Disorders2026
  4. 4A Practical Diagnostic Approach to Pediatric Episodic Vestibular Syndrome2026 · 1 citations
  5. 5Diagnosis of Benign Paroxysmal Positional Vertigo: Review of Different Diagnostic Methods2026