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HINTS Exam - Bidirectional Nystagmus

In a patient with vertigo symptoms, this finding is worrisome for

Bidirectional Nystagmus ... a patient with vertigo ... Video by Dr. ... Bidirectional #Nystagmus ... Video #Positive #Neurology

HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring

Unidirectional Nystagmus ... a patient with vertigo ... Video by Dr. ... Unidirectional #Nystagmus ... Video #Negative #Neurology

The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.

vs Peripheral Vertigo ... Impulse Test Nystagmus ... Animation by Dr ... PhysicalExam #Testing #Vertigo ... Central #Peripheral #Neurology

Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior

Acute continuous vertigo ... due to Posterior ... Nausea/vomiting/vertigo ... /nystagmus - Vestibular ... #Wallenbergs #neurology

Horizontal Nystagmus on Ocular Examination

Dr Prasad Jain @DrPrasadJain

#Horizontal #Nystagmus #Ocular #PhysicalExam #clinical #video #neurology #ophthalmology

Horizontal Nystagmus ... Examination Dr ... #Horizontal #Nystagmus ... clinical #video #neurology ... #ophthalmology

Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom

Convergence Retraction Nystagmus ... hemorrhage Dr ... Convergence #retraction #nystagmus ... clinical #video #neurology ... #ophthalmology

HINTS Exam - Distinguishing Central from Peripheral Vertigo
• Head Impulse: Head thrust 10° with eyes

from Peripheral Vertigo ... examiners nose • Nystagmus ... uncover each eye Dr ... Central #Peripheral #Vertigo ... #diagnosis #neurology

Vertigo Differential Diagnosis and Management Algorithm
Vertigo: Symptom of illusory movement because of asymmetry in the vestibular

Vertigo Differential ... Diagnosis and Management ... vestibular system due ... #Diagnosis #Management ... #Algorithm #neurology

Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
- Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,

Central Causes of Vertigo ... fistula, Cogan's syndrome ... Wallenberg syndrome ... sclerosis - Dr ... differential #diagnosis #neurology

Parinaud's Syndrome
What?
- Impaired upgaze
- Light-near dissociation
- Convergence retraction nystagmus
- Eyelid retraction (Collier's

Parinaud's Syndrome ... Convergence retraction nystagmus ... disease (stroke) Dr ... gabifpucci #Parinauds #Syndrome ... diagnosis #pineal #neurology

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