22 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... for a CENTRAL cause ... Bidirectional #Nystagmus ... #PhysicalExam #Clinical ... Video #Positive #Neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... Diagnosis Algorithm ... unidirectonal nystagmus ... bidirectional nystagmus ... #Diagnosis #Algorithm
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... for a PERIPHERAL cause ... Unidirectional #Nystagmus ... #PhysicalExam #Clinical ... Video #Negative #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... with vascular causes ... • Nystagmus: ... positional episodes caused
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... #physicalexam #clinical ... #video #neurology ... #ophthalmology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... Cooper Neurology ... PhysicalExam #ocular #clinical ... #video #neurology ... #ophthalmology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Artery occlusion) Clinical ... Findings: • Nausea ... /nystagmus - Vestibular ... #Wallenbergs #neurology ... #diagnosis
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... with vascular causes ... circulation TIA • Nystagmus ... #diagnosis #findings ... symptoms #comparison #neurology
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis 1) Vertigo ... instability 3) Nausea ... hearing loss Clinical ... vestibular CN VIII • Nystagmus ... Labyrinthitis #Diagnosis
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
and torsional nystagmus ... patient with a clinical ... patient with a clinical ... Labyrinthitis #diagnosis ... #neurology #comparison