Distinguishing Vestibular Vertigo from Posterior Stroke

This review article examines the critical challenge of distinguishing between benign inner ear issues and life-threatening strokes in patients presenting with acute vertigo. Because standard neuroimaging often fails to detect early-stage strokes, the author advocates for a structured bedside examination that prioritizes the identification of neurological red flags. Key assessment tools like the HINTS plus exam and evaluations of gait and hearing are highlighted as essential for improving diagnostic accuracy in emergency settings. The text also explores how technological advancements, such as smartphone eye-tracking and artificial intelligence, may soon assist non-specialists in making these vital clinical decisions. Ultimately, the source emphasizes that a systematic, history-driven approach can significantly reduce misdiagnosis rates and improve patient survival.