52 results
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
vomiting, auditory symptoms ... • Meniere's Disease ... Dysfunction - Imbalance, neurologic ... symptoms/signs, ... #Neurology #Differential
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Méniére's disease ... course of the disease ... Disease onset usually ... signs or symptoms ... differential #diagnosis #neurology
Abnormal (Positive) Babinski Sign on Physical Exam

Dorsiflexion of the great toe with or without fanning of
Positive) Babinski Sign ... the other toes and ... patients with pyramidal ... #PhysicalExam #clinical ... #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... No auditory symptoms ... test Méniére's disease ... Long symptom-free ... differential #diagnosis #neurology
Tromner Sign on Physical Exam

Tromner sign indicates pyramidal release.  The Tromner sign is flexion of
indicates pyramidal ... for pyramidal response ... been recognized as ... #Reflex #clinical ... #Video #Neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
This patient as ... test to the left and ... symptoms, this ... #PhysicalExam #Clinical ... #Video #Neurology
Brissaud's Sign
Brissaud's Sign, a substitute for Babinski's sign, was published only 22 days after Babinski's famous
Brissaud's Sign ... quadriceps muscle and ... synergy due to pyramidal ... #Reflex #Neurology ... #clinical #video
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Central Vertigo ... tinnitus (Méniére's disease ... diagnosis #findings #signs ... #symptoms #comparison ... #neurology
Brudzinski's sign is a physically demonstrable symptom of meningitis. It is characterized by reflexive flexion of
Brudzinski's sign ... physically demonstrable symptom ... flexion of the knees and ... #clinical #video ... #neurology #meningitis
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
are not useful signs ... Hoffmanns #Reflex #Sign ... #PhysicalExam #clinical ... #neurology #UMN ... #video #Pyramidal