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diagnosis neurology management physicalexam differential vertigo clinical video comparison peripheral signs symptoms syndrome algorithm cns dizziness hints hippus infections parinauds
The HINTS Exam - Differentiating Central vs Peripheral Vertigo Head Impulse Test Nystagmus Test of Skew Animation by Dr. Y.
Differentiating Central ... Head Impulse Test ... Nystagmus Test ... Animation by Dr ... #Peripheral #Neurology
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 Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Convergence retraction nystagmus ... → "setting sun sign ... " - Vascular disease ... (stroke) Dr. ... diagnosis #pineal #neurology
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... Méniére's disease ... differential #diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
• Meniere's Disease ... Bone Fracture Central ... Dysfunction - Imbalance, neurologic ... symptoms/signs, ... Dizziness #Vertigo #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... examiners nose • Nystagmus ... following a finger) • Test ... uncover each eye Dr ... Vertigo #diagnosis #neurology
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Convergence retraction nystagmus ... "setting sun" sign ... • Vascular disease ... pretectal area By Dr ... Parinauds #syndrome #neurology
Romberg's Test for Proprioception History: First described in the 19th century in patients with tabes dorsalis (later
(Romberg's sign ... • Cerebellar disease ... Unilateral vestibular disease ... the lesion By Dr ... #neurology #diagnosis
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... tinnitus (Méniére's disease ... circulation TIA • Nystagmus ... diagnosis #findings #signs ... symptoms #comparison #neurology
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
neurodegenerative disease ... of the central ... Incontinence • VISUAL: Nystagmus ... objective evidence of neurologic ... diagnosis #management #neurology
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management Diagnosis - Caine Criteria (2 of
• Changes in mental ... ophthalmoplegia and nystagmus ... Anorexia nervosa Treatment ... deficiency) By Dr ... Diagnosis #Management #neurology
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