26 results
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Long symptom-free ... occur during the headache ... 24% always had headache ... 67% had headache ... occur during the headache-free
Temporal (Giant cell) Arteritis 
Risk Factors:
 • Age (almost never occurs before age 50) 
Clinical:
 •
Temporal (Giant cell) Arteritis ... Constitutional symptoms ... • Headache ... Temporal #GiantCell #Arteritis
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... symptoms, this ... CENTRAL cause of vertigo ... Nystagmus #HINTS #PhysicalExam ... Neurology #Central #Vertigo
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
a patient with vertigo ... symptoms, this ... PERIPHERAL cause of vertigo ... Nystagmus #HINTS #PhysicalExam ... Neurology #Peripheral #Vertigo
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
a patient with vertigo ... symptoms, this ... CENTRAL cause of vertigo ... #Test #HINTS #PhysicalExam ... Video #Neurology #Vertigo
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
a patient with vertigo ... symptoms, this ... PERIPHERAL cause of vertigo ... #Test #HINTS #PhysicalExam ... Video #Neurology #Vertigo
Migraine with Aura
Diagnostic Criteria (ICHD-3):
A) At least 2 attacks fulfilling criteria B and C:
B) One or
reversible aura symptoms ... visual aura, but symptoms ... • Brainstem: Vertigo ... 60 minutes, by headache ... criteria #neurology #headache
Giant Cell (Temporal) Arteritis: Clinical findings and Complications
Signs/Symptoms: 
 - Headache (usually constant, superimposed by waves
Cell (Temporal) Arteritis ... Complications Signs/Symptoms ... : - Headache ... Stroke or TIA-like symptoms ... Complications #Signs #Symptoms
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Approach to Headaches ... thunderclap) of worst headache ... ) • Systemic symptoms ... ) • Temporal arteritis ... MatthewHoMD #Headache
Carbon Monoxide Poisoning

Symptoms are non-specific:
 - Headache 90%
 - Nausea/vomiting 50%
 - Vertigo 50%
 - Altered
Monoxide Poisoning Symptoms ... non-specific: - Headache ... vomiting 50% - Vertigo ... Outdoors improves symptoms