• Vestibular neuritis/neuronitis
• BPPV (benign paroxysmal positional vertigo)
• vertigo
• Hallpike
• emergency medicine
• cardiac care
• diagnosis
• clinical assessment
• ear nose and throat
• neurology

Acute vertigo accounts for 12% of neurological presentations to emergency departments.1 Over 12 months, the neuro-otologists' diagnoses from 90 referrals seen in our emergency department were benign paroxysmal positional vertigo (BPPV) 31, vestibular neuritis 14, history of vestibulopathy with no diagnosis (normal assessment) 14, vestibular migraine 12, anxiety/panic disorder 11, stroke 4, presyncope 4. BPPV was the most common diagnosis and this is important because BPPV is easily diagnosed and treated with simple manoeuvres (figure …