Hanna J, et al. - In this investigation, researchers assessed the use of images between patients with vertigo and dizziness (VDS) diagnosed with stroke and benign paroxysmal positional vertigo (BPPV) presenting at the emergency department (ED). All patients presenting to the ED with VDS (January 2014–June 2018) were identified and those with a discharge diagnosis of stroke and BPPV were evaluated. There were 17,884 patients with VDS. Investigators found that the utilization of imaging in BPPV patients with VDS is high. The profile of image-receiving patients with BPPV was much more benign vs that of patients with stroke (a quarter had no neurologic symptoms, exam findings, or stroke RFs). The HINTS (head impulse, nystagmus, skew) examination was underused and, despite well-established limitations in the diagnosis of posterior circulation strokes, computed tomography was heavily used.