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From our 2021 NYGH EM Update conference, Dr Walter Himmel gives a master class on differentiating central causes of vertigo from peripheral causes. He reviews the acute vestibular syndrome and BPPV. Dr Himmel also addresses the following questions... Can isolated vertigo be a TIA? Which features favour a stroke? What are the components of the HINTS exam? What is the value of CT or MRI in the ED?