Neuroexamination

This article highlights 5 pitfalls in the diagnosis of common vestibular disorders: (1) overreliance on dizziness symptom type to drive diagnostic inquiry; (2) underuse and misuse of timing and triggers to categorize patients; (3) underuse, misuse, and misconceptions linked to hallmark eye examination findings; (4) overweighting age, vascular risk factors, and neuroexamination to screen for stroke; and (5) overuse and overreliance on head computed tomography to rule out neurologic causes.

When performing a neurologic examination (neuroexamination) the eyes (more specifically the pupils) are closely examined, and the pupillary assessment becomes a window through which staff evaluate neurologic status.