Can J Emerg Med
The most recent articles from:
Can J Emerg Med
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Case Reports
Just the Facts: How to assess a patient with constant significant vertigo and nystagmus in the emergency department.
A 43-year-old female presents to the emergency department (ED) after she woke up with the sensation that the room was spinning and vomited three times at home. She continues to have significant vertigo when she presents to the ED 4 hours later. ⋯ She has noticed some unsteadiness but is able to walk unaided. When you examine her, she has left-beating horizontal nystagmus with a slight rotatory component to the left.