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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #Central #Peripheral
Causes of Peripheral and Central Vertigo

Peripheral Vertigo:
 - Benign Positional Vertigo
 - Vestibular Neuronitis
 - Meniere's
Causes of Peripheral ... and Central Vertigo ... Peripheral Vertigo ... #Causes #Central ... #Peripheral
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral ... Vertigo • Head ... following a finger) • Test ... #Peripheral #Vertigo
Vertigo - is it central or peripheral? Vertigo is classified into either peripheral or central depending
central or peripheral ... into either peripheral ... or central depending ... nerve is called "peripheral ... centers of the central
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... worrisome for a CENTRAL ... cause of vertigo ... Vertical #Skew #Test ... #Central
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... a patient with vertigo ... reassuring for a PERIPHERAL ... cause of vertigo ... #Peripheral
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Causes of Vertigo ... Peripheral Causes ... vertigo"), Ramsay ... #Peripheral #Central
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... reassuring for a PERIPHERAL ... cause of vertigo ... Vertical #Skew #Test ... #Peripheral
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... PAROXYSMAL POSITIONAL VERTIGO ... reproduction of vertigo ... ) • Epley maneuver ... saccade seen) • Epley
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... = Central Cause ... normal head impulse test ... cause of vertigo ... #Central