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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #Peripheral #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... a stand-alone test ... #PhysicalExam #Neurology ... VestibularSyndrome #Posterior ... #CVA #Peripheral
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... may be present Central ... (posterior canal ... No auditory symptoms ... Long symptom-free
Effects of Strokes by Location - Anterior vs Posterior Localization

Anterior Circulation 
 - MCA 
 -
- Anterior vs Posterior ... Artery #Strokes #Syndromes ... CVA #Territory #Symptoms ... GrepMed Recommended Text ... Review in Clinical Neurology
Dizziness - Central and Peripheral Causes - Differential Diagnosis
Central Causes:
 • Cerebrovascular:  vertebrobasilar, TIA, Wallenburg,
Dizziness - Central ... and Peripheral ... Differential Diagnosis Central ... Tumours: CPA, posterior ... #Peripheral #Causes
Dermatomes and Peripheral Nerves - Segmental Innervation of the Skin and the Peripheral Nerve Supply (Anterior
Dermatomes and Peripheral ... the Skin and the Peripheral ... (Anterior and Posterior ... Skin #Diagnosis #Neurology ... GrepMed Recommended Text
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Occlusion of posterior ... (Wallenberg's syndrome ... Syndrome usually ... #Peripheral #Central
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Causes of Vertigo Peripheral ... / #Vertigo #Peripheral ... #Central #Causes ... differential #diagnosis #neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

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

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... patient with vertigo symptoms ... reassuring for a PERIPHERAL ... Clinical #Video #Neurology ... #Vertigo #Peripheral