Sparaco M, Ciolli L, Zini A (2019) Posterior circulation ischaemic stroke—a review part I: anatomy, aetiology and clinical presentations. Neurol Sci 40:1995–2006. https://doi.org/10.1007/s10072-019-03977-2

Article  PubMed  Google Scholar 

Feigin VL, Stark BA, Johnson CO (2021) Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol 20:795–820. https://doi.org/10.1016/S1474-4422(21)00252-0

Article  CAS  Google Scholar 

Nouh A, Remke J, Ruland S (2014) Ischemic posterior circulation stroke: a review of anatomy, clinical presentations, diagnosis, and current management. Front Neurol. https://doi.org/10.3389/fneur.2014.00030

Article  PubMed  PubMed Central  Google Scholar 

De Marchis GM, Kohler A, Renz N, Arnold M, Mono ML, Jung S, Fischer U, Karameshev AI, Brekenfeld C, Gralla J, Schroth G. (2011) Posterior versus anterior circulation strokes: comparison of clinical, radiological and outcome characteristics. J Neurol Neurosurg Psychiatry 82:33–37. https://doi.org/10.1136/jnnp.2009.197392

Tao WD, Liu M, Fisher M (2012) Posterior versus anterior circulation infarction: how different are the neurological deficits? Stroke 43:2060–2065. https://doi.org/10.1161/STROKEAHA.112.652420

Article  PubMed  Google Scholar 

Paul NLM, Simoni M, Rothwell PM (2013) Transient isolated brainstem symptoms preceding posterior circulation stroke: a population-based study. Lancet Neurol 12:65–71. https://doi.org/10.1016/S1474-4422(12)70299-5

Article  PubMed  Google Scholar 

Arch AE, Weisman DC, Coca S (2016) Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. Stroke 47:668–673. https://doi.org/10.1161/STROKEAHA.115.010613

Article  PubMed  Google Scholar 

Gurley KL, Edlow JA (2019) Avoiding misdiagnosis in patients with posterior circulation ischemia: a narrative review. Acad Emerg Med 26:1273–1284. https://doi.org/10.1111/acem.13830

Article  PubMed  Google Scholar 

Mattle HP, Arnold M, Lindsberg PJ (2011) Basilar artery occlusion. Lancet Neurol 10:1002–1014. https://doi.org/10.1016/S1474-4422(11)70229-0

Article  PubMed  Google Scholar 

Brønnum-Hansen H, Davidsen M, Thorvaldsen P (2001) Long-term survival and causes of death after stroke. Stroke 32:2131–2136. https://doi.org/10.1161/hs0901.094253

Article  PubMed  Google Scholar 

Edlow JA, Carpenter C, Akhter M (2023) Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): acute dizziness and vertigo in the emergency department. Acad Emerg Med 30:442–486. https://doi.org/10.1111/acem.14728

Article  PubMed  Google Scholar 

Wang LL, Thompson TA, Shih RY (2024) ACR appropriateness criteria® dizziness and ataxia: 2023 update. J Am Coll Radiol. https://doi.org/10.1016/j.jacr.2024.02.018

Article  PubMed  Google Scholar 

Kerber KA, Newman-Toker DE (2015) Misdiagnosing dizzy patients: common pitfalls in clinical practice. Neurol Clin 33:565–575. https://doi.org/10.1016/j.ncl.2015.04.009

Article  PubMed  PubMed Central  Google Scholar 

Stanton VA, Hsieh YH, Camargo CA (2007) Overreliance on symptom quality in diagnosing dizziness: results of a multicenter survey of emergency physicians. Mayo Clin Proc 82:1319–1328. https://doi.org/10.4065/82.11.1319

Article  PubMed  Google Scholar 

Deluca C, Moretto G, Matteo A (2011) Ataxia in posterior circulation stroke: clinical–MRI correlations. J Neurol Sci 300:39–46. https://doi.org/10.1016/j.jns.2010.10.005

Article  PubMed  Google Scholar 

Ljunggren M, Persson J, Salzer J (2018) Dizziness and the acute vestibular syndrome at the emergency department: a population-based descriptive study. Eur Neurol 79:5–12. https://doi.org/10.1159/000481982

Article  PubMed  Google Scholar 

Nikles F, Kerkeni H, Zamaro E (2024) Do monosymptomatic stroke patients with dizziness present a vestibular syndrome without nystagmus? An underestimated entity. Eur J Neurol. https://doi.org/10.1111/ene.16066

Article  PubMed  Google Scholar 

Kattah JC, Talkad AV, Wang DZ (2009) HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 40:3504–3510. https://doi.org/10.1161/STROKEAHA.109.551234

Article  PubMed  PubMed Central  Google Scholar 

Kattah JC (2019) Update on HINTS plus, with discussion of pitfalls and pearls. J Neurol Phys Ther 43(Suppl 2):S42–S45. https://doi.org/10.1097/NPT.0000000000000273

Ohle R, Montpellier RA, Marchadier V (2020) Can emergency physicians accurately rule out a central cause of vertigo using the HINTS examination? A systematic review and meta-analysis. Acad Emerg Med 27:887–896. https://doi.org/10.1111/acem.13960

Article  PubMed  Google Scholar 

Gerlier C, Hoarau M, Fels A (2021) Differentiating central from peripheral causes of acute vertigo in an emergency setting with the HINTS, STANDING, and ABCD2 tests: a diagnostic cohort study. Acad Emerg Med 28:1368–1378. https://doi.org/10.1111/acem.14337

Article  PubMed  Google Scholar 

Xu W, Ling X, Chu H (2026) Using “HINTS family” to diagnose stroke in the acute vestibular syndrome: a systematic review and meta-analysis. Am J Emerg Med 99:192–200. https://doi.org/10.1016/j.ajem.2025.10.041

Article  PubMed  Google Scholar 

Saber Tehrani AS, Coughlan D, Hsieh YH, Mantokoudis G, Korley FK, Kerber KA, Frick KD, Newman‐Toker DE (2013) Rising annual costs of dizziness presentations to US emergency departments. Acad Emerg Med 20:689–696. https://doi.org/10.1111/acem.12168

Article  PubMed  Google Scholar 

Kim AS, Sidney S, Klingman JG, Johnston SC (2012) Practice variation in neuroimaging to evaluate dizziness in the ED. Am J Emerg Med 30:665–672. https://doi.org/10.1016/j.ajem.2011.02.038

Article  PubMed  Google Scholar 

Rigney GH, King AH, Chung J (2024) Trends in non-focal neurological chief complaints and CT angiography utilization among adults in the emergency department. Intern Emerg Med 19:2005–2013. https://doi.org/10.1007/s11739-024-03662-z

Article  PubMed  Google Scholar 

Wang JJ, Katz JM, Boltyenkov A (2022) Neuroimaging in acute ischemic stroke: trends, disparities, and clinical impact. Eur J Radiol 154. https://doi.org/10.1016/j.ejrad.2022.110453

Busch JM, Arnold I, Karakoumis J (2023) Emergency presentations for dizziness—radiological findings, final diagnoses, and mortality. Int J Clin Pr 2023. https://doi.org/10.1155/2023/7450009

Shah VP, J O, Silva L, Farah W (2023) Diagnostic accuracy of neuroimaging in emergency department patients with acute vertigo or dizziness: a systematic review and meta-analysis for the Guidelines for Reasonable and Appropriate Care in the Emergency Department. Acad Emerg Med 30:517–530. https://doi.org/10.1111/acem.14561

Thomalla G, Boutitie F, Ma H (2020) Intravenous alteplase for stroke with unknown time of onset guided by advanced imaging: systematic review and meta-analysis of individual patient data. Lancet 396:1574–1584. https://doi.org/10.1016/S0140-6736(20)32163-2

Article  CAS  PubMed  PubMed Central  Google Scholar 

Katyal A, Calic Z, Killingsworth M, Bhaskar SMM (2021) Diagnostic and prognostic utility of computed tomography perfusion imaging in posterior circulation acute ischemic stroke: a systematic review and meta-analysis. Eur J Neurol 28:2657–2668. https://doi.org/10.1111/ene.14934

Article  PubMed  Google Scholar 

Ahmed RA, Dmytriw AA, Regenhardt RW (2023) Posterior circulation cerebral infarction: a review of clinical, imaging features, management, and outcomes. Eur J Radiol Open 11. https://doi.org/10.1016/j.ejro.2023.100523

Scholtz JE, Wichmann JL, Bennett DW (2017) Detecting intracranial hemorrhage using automatic tube current modulation with advanced modeled iterative reconstruction in unenhanced head single- and dual-energy dual-source CT. AJR Am J Roentgenol 208:1089–1096. https://doi.org/10.2214/AJR.16.17376

Article  PubMed  Google Scholar 

Hwang DY, Silva GS, Furie KL, Greer DM (2012) Comparative sensitivity of computed tomography vs. magnetic resonance imaging for detecting acute posterior fossa infarct. J Emerg Med 42:559–565. https://doi.org/10.1016/j.jemermed.2011.05.101

Article  PubMed  PubMed Central  Google Scholar 

Grewal K, Austin PC, Kapral MK et al (2015) Missed strokes using computed tomography imaging in patients with vertigo: population-based cohort study. Stroke 46:108–113. https://doi.org/10.1161/STROKEAHA.114.007087

Article  PubMed  Google Scholar 

Adam G, Ferrier M, Patsoura S (2018) Magnetic resonance imaging of arterial stroke mimics: a pictorial review. Insights Imaging 9:815–831. https://doi.org/10.1007/s13244-018-0637-y

Article  PubMed  PubMed Central