Dizziness! one of the most complex and ambiguous term in ED. The first response: what do you mean? But sounds like we need to have more critical thinking than just a vertigo, or lightheartedness. Neurology in Nov.2015 Publishes an article regarding: Stroke risk stratification in acute dizziness presentations! There were 272 patients, 10.7% acute stroke recognized.The combination of ABCD2 score(age, blood pressure, clinical features, duration, and diabetes), , general neurological examination, and a specialized Oculo-motor examination has the capacity to risk-stratify acute stroke on MRI.