id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-8341	Siniscalchi, Antonio; Malferrari, Giovanni	The role of transcranial Doppler ultrasonography in differential diagnosis of vertigo in the Emergency Department	2019	5	.pdf	application/pdf	4474	257	47	However, in vertigo patients, misdiagnosis can be also related to both inaccurate clinical evaluation,12 and a score of zero to the National Institute of Health Scale of stroke (NIHSS)13-15 as well as an excessive dependence of neuroradiological tests, such as com- puted tomography (CT).3 In a clinical study, a series of questions were asked to patients with vertigo to determine the reliability and consistency of eliminating the quality of symptoms and the timing and triggers of vertigo.16 When the main question was asked again 6 minutes later, half of the patients changed the type of primary vertigo,17 reducing the logic of a diagnostic process based on the type of vertigo.3 Patients with cardiovascular vertigo describe ver- tigo in almost 40% of cases. Patients with benign paroxysmal posi- tional vertigo, commonly elderly patients, often describe non-ver- tiginous vertigo.18,19 Despite these data, most physicians still use a quality symptom approach with vertigo patients regardless of tim- ing and triggers.3 A masked neurologist at the initial ED visit changed the diagnosis during the follow-up in 44% of patients.	cache/ecj-8341.pdf	txt/ecj-8341.txt