New study aims to decode dizzy spells that could signal a stroke
NCT ID NCT07421973
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study will follow 400 people who come to the emergency room with sudden vertigo or dizziness that might be caused by a mini-stroke in the back of the brain. Researchers will track their symptoms, treatments, and outcomes over a year to learn how to better diagnose and manage these episodes. The goal is to improve care and reduce the risk of future strokes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help doctors better identify which cases of vertigo or dizziness are due to a mini-stroke, leading to faster and more accurate treatment.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly test a new therapy. Results may not change practice immediately and depend on careful follow-up of participants.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 400 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adults presenting with acute or transient episodes of vertigo, dizziness, or unsteadiness that suggest vertebrobasilar transient neurological attacks will be evaluated in emergency departments or outpatient neurotology/neurology settings. Participants will be prospectively enrolled based on predefined clinical criteria and followed longitudinally to assess diagnostic confirmation, clinical characteristics, treatment responses, and prognostic outcomes.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Episodic acute vertigo, dizziness or unsteadiness transient or in evolution, therefore, lasting \<24 h * Such an episode may be isolated or associated with one or more of the following: 1. focal central neurological symptoms or severe postural instability; 2. new-onset, moderate-to-severe craniocervical pain; or 3. symptoms that are not better accounted for by another disease or disorder. Exclusion Criteria: * Patients who present with findings of acute hemorrhage or ischemia on the cranial magnetic resonance imaging (MRI), including diffusion-weighted MRI (DWI-MRI) at recruitment; * Patients who also fulfill the diagnostic criteria for other neurotological diseases that may present acute or recurrent transient dizziness/Vertigo (Unilateral Vestibulopathy; benign paroxysmal positional vertigo; Meniére's disease; Vestibular Migraine; Vestibular Paroxysmia; Persistente Postural-Perceptual Dizziness; and Postural Hypotension; * Patients whose symptoms last more than 24 hours or who have evidence of sequelae during follow-up; * Patients with contraindications to any of the therapeutic options proposed by this study method; * Patients who have other symptoms during the follow-up that suggest another etiology of dizziness or vertigo; * Patients who do not complete the entire evaluation; * Patients who refuse to sign the informed consent form.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hospital das Clínicas - University of São Paulo
São Paulo, São Paulo, 05403900, Brazil
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