15 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... Differentiating Central ... vs Peripheral Vertigo ... #Testing #Vertigo ... #Neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
HINTS Exam - Bidirectional ... worrisome for a CENTRAL ... Bidirectional #Nystagmus #HINTS ... Video #Positive #Neurology ... #Central #Vertigo
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
HINTS Exam - Abnormal ... worrisome for a CENTRAL ... Vertical #Skew #Test #HINTS ... Clinical #Video #Neurology ... #Vertigo #Central
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... This patient as ... HeadImpulse #Test #HINTS ... Clinical #Video #Neurology ... #Vertigo #Central
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... Central from Peripheral ... Vertigo • Head ... TylerLarsenMD #HINTS ... #diagnosis #neurology
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
• A Targeted Exam ... : HINTS, Dix-Hallpike ... • Vestibular (vertigo ... • Nonspecific (psychiatric ... differential #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a central ... #PhysicalExam #Neurology ... VestibularSyndrome #Posterior ... #CVA #Peripheral ... #Testing #HIT #HINTS
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Central Vertigo ... forehead) in classic posterior ... labyrinthitis) CENTRAL ... with posterior ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... may be present Central ... position change • Neurologic ... Hallpike test (posterior ... differential #diagnosis #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Central Vertigo ... CENTRAL VERTIGO ... Occlusion of posterior ... #Peripheral #Central ... differential #diagnosis #neurology