19 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... a patient with vertigo ... Bidirectional #Nystagmus ... Video #Positive #Neurology ... #Central #Vertigo
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... a patient with vertigo ... Unidirectional #Nystagmus ... Video #Negative #Neurology ... #Peripheral #Vertigo
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 ... PhysicalExam #Testing #Vertigo ... Central #Peripheral #Neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
of Dizziness - Vertigo ... unidirectonal nystagmus ... Dysfunction - Imbalance, neurologic ... bidirectional nystagmus ... #Neurology #Differential
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... position change • Neurologic ... differential #diagnosis #neurology
Primary Downbeat Nystagmus on Ocular Examination

Primary downbeat nystagmus, most evident on looking down and out .
Primary Downbeat ... Nystagmus on Ocular ... nystagmus, most ... #Nystagmus #Ocular ... #physicalexam #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... Central #Peripheral #Vertigo ... #diagnosis #neurology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
movements found in Downbeat ... Nystagmus Downbeat ... nystagmus (downward ... Eye Center #Downbeat ... Ophthalmology #Neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Nausea/vomiting/vertigo ... /nystagmus - Vestibular ... #Wallenbergs #neurology