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Letters Making a diagnosis in vertigo

Authors’ reply to Foley

BMJ 2012; 345 doi: (Published 02 October 2012) Cite this as: BMJ 2012;345:e6544
  1. D Kaski, neurology registrar1,
  2. A M Bronstein, professor of neuro-otology1
  1. 1Department of Neuro-otology, Charing Cross Hospital, Imperial College London, London W6 8RF, UK
  1. d.kaski{at}

We agree that the diagnosis of cerebellar stroke or vestibular neuritis cannot be made solely on the patient’s ability to stand.1 The presence of sudden onset severe disequilibrium in patients with posterior circulation infarcts adds weight to the diagnosis, but the clinical context must be taken into account. Indeed, we highlight that the diagnosis …

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