13 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... vs Peripheral Vertigo ... #Exam #PhysicalExam ... #Central #Peripheral ... #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Central from Peripheral ... Vertigo • Head ... #physicalexam # ... Central #Peripheral ... #neurology #bppv
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... HeadImpulse #Test #HINTS ... #PhysicalExam # ... Clinical #Video #Neurology ... #Vertigo #Central
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... and Central Vertigo ... PERIPHERAL VERTIGO ... #Central #Vertigo ... symptoms #comparison #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
#Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA ... #Peripheral #Central ... #Testing #HIT #HINTS
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Vertigo Peripheral ... Varies • No neurologic ... may be present Central ... auditory findings BPPV ... differential #diagnosis #neurology
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Vertigo: • Peripheral ... : BPPV, Vestibular ... Meniere's Disease • Central ... radiculopathy Other: • Psychiatric ... Differential #Diagnosis #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
and Central Vertigo ... PERIPHERAL VERTIGO ... CENTRAL VERTIGO ... #Peripheral #Central ... differential #diagnosis #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for ... sitting posture, and ... paroxysmal #positional #vertigo ... #neurology #instructions ... clinical #video #physicalexam
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... patient's head and ... useful when the Epley ... #neurology #instructions ... clinical #video #physicalexam