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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 ... #Central #Peripheral
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with an AVS with nystagmus ... VestibularSyndrome #Posterior ... #CVA #Peripheral ... #Central #HeadImpulse ... #Testing #HIT #HINTS
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... Central from Peripheral ... Vertigo • Head ... examiners nose • Nystagmus ... #Peripheral #Vertigo
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... forehead) in classic posterior ... , such as with posterior ... #Central #Vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Peripheral Vertigo ... minutes to days • Nystagmus ... may be present Central ... Hallpike test (posterior
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Differential Diagnosis Algorithm ... Rotary Movement Peripheral ... unidirectonal nystagmus ... Bone Fracture Central ... bidirectional nystagmus
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
(HINTS = head-impulse ... , nystagmus, test ... or central in etiology ... or central TiTrATE ... of dizziness or vertigo
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... if the cause is peripheral ... CNS, Central nervous ... Impulse Test, Nystagmus ... Diagnosis #AVS #Posterior