First, history taking about the characteristics of vestibular symptoms, associated central
symptoms, and vascular risk factors should be the first step in diagnosing vascular
vertigo/dizziness despite the marked progress in neuroimaging and laboratory medicine,
Second, a systematic examination focused on central vestibular and ocular motor signs,
especially HINTS, is more accurate than EARLY imaging in diagnosing vascular
vertigo/dizziness based on LATE imaging. Third, the video HIT and recording of eye
movements may help to increase the diagnostic accuracy. Fourth, identifying the underlying
etiology of vascular vertigo/dizziness is essential for appropriate treatments, including acute
treatments and secondary prevention of further stroke.
