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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... Differentiating Central vs ... Peripheral Vertigo ... Impulse Test Nystagmus ... JayLin3455 #HINTS
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with nystagmus. ... VestibularSyndrome #Posterior ... #CVA #Peripheral ... #Central #HeadImpulse ... #Testing #HIT #HINTS
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... minutes to days • Nystagmus ... vascular causes • Nystagmus ... Positive Hallpike ... test (posterior
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... forehead) in classic posterior ... vascular causes, such as ... with posterior
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
(HINTS = head-impulse ... , nystagmus, test ... the dizziness as ... more likely to be peripheral ... of dizziness or vertigo
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
patients with AVS ... if the cause is peripheral ... Impulse Test, Nystagmus ... #Diagnosis #AVS ... #Posterior #CVA