[Acute vestibular syndrome].

Acute vestibular syndrome (AVS) requires a systematic approach to differentiate between central and peripheral causes, as conditions like stroke and vestibular neuritis can present similarly. The head impulse, nystagmus, skew deviation, and hearing test examination (HINTS+) is effective in distinguishing strokes with high sensitivity. Most important for treatment of peripheral AVS includes vestibular rehabilitation, while central causes require targeted therapies. A multidisciplinary approach is essential for effective diagnosis and management in order to improve outcomes and quality of life, as argued in this review.