์–ด์ง€๋Ÿผ/๋‡Œ์กธ์ค‘ ๋ชจ๋ฐฉ ์‘๊ธ‰ / Dizziness and stroke mimic emergency

์ •์˜

์–ด์ง€๋Ÿผ๊ณผ stroke mimic ์‘๊ธ‰์€ ์‘๊ธ‰์‹ค์—์„œ dizziness/vertigo, posterior circulation stroke miss, CT/MRI utilization, stroke mimic prediction์„ ๋‹ค๋ฃจ๋Š” ์‹ ๊ฒฝ์‘๊ธ‰ ์˜์—ญ์ด๋‹ค.

์ž„์ƒ ํ•ต์‹ฌ

ER์—์„œ ์–ด๋ ต๊ณ  ์˜ค์ง„์ด ๋งŽ์€ ๋ถ„์•ผ๋กœ ์žฅ๊ธฐ ์—ฐ๊ตฌ ๊ฐ€์น˜๊ฐ€ ํฌ๋‹ค. ํŠนํžˆ dizziness/vertigo๋Š” HINTS ๊ต์œก๊ณผ ์ •ํ™•๋„, posterior circulation stroke miss์™€ ์—ฐ๊ฒฐ๋œ๋‹ค. Seizure ์˜์—ญ์—์„œ๋Š” status epilepticus, first seizure disposition, alcohol-related seizure๋„ ์—ฐ๊ตฌ ๊ฐ€๋Šฅํ•˜๋‹ค.

์ง„๋‹จ

HINTS ๊ต์œก/์ •ํ™•๋„ ํ‰๊ฐ€, CT/MRI utilization ๋ถ„์„, stroke mimic prediction์ด ํ•ต์‹ฌ ์ง„๋‹จ ์ฃผ์ œ๋‹ค. Posterior circulation stroke๋ฅผ ๋†“์น˜์ง€ ์•Š๋Š” ๊ฒƒ์ด ์ค‘์š”ํ•˜๋‹ค.

์น˜๋ฃŒ

Raw ์ž๋ฃŒ๋Š” ๊ตฌ์ฒด์  ์น˜๋ฃŒ๋ณด๋‹ค ์ง„๋‹จ ์ •ํ™•๋„, ์˜์ƒ ์‚ฌ์šฉ, disposition ์—ฐ๊ตฌ๋ฅผ ๊ฐ•์กฐํ•œ๋‹ค. First seizure disposition๊ณผ stroke mimic ๊ตฌ๋ถ„์€ ์‘๊ธ‰์‹ค ์ฒ˜์น˜ ๊ฒฝ๋กœ์™€ ์—ฐ๊ฒฐ๋œ๋‹ค.

์ถœ์ฒ˜

AHA/ASA stroke guideline; GRACE dizziness guideline.

๐ŸŒฑ ์ถœ์ฒ˜ raw


๋ณธ ๋ฌธ์„œ๋Š” ํ•™์Šตยท์ฐธ๊ณ ์šฉ์ด๋ฉฐ ์‹ค์ œ ์ง„๋ฃŒ ๊ฒฐ์ •์€ ์ž„์ƒ์˜์˜ ํŒ๋‹จ์ž…๋‹ˆ๋‹ค.