6 results
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
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral ... Vertigo • Head ... following a finger) • Test ... #Peripheral #Vertigo ... neurology #bppv #comparison
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... reproduction of vertigo ... ) • Epley maneuver ... saccade seen) • Epley ... diagnosis #neurology #comparison
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... and Central Vertigo ... PERIPHERAL VERTIGO ... #Central #Vertigo ... signs #symptoms #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... may be present Central ... Positive Hallpike test ... or supine roll test ... Positive head impulse test
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
head-impulse, nystagmus, test ... more likely to be peripheral ... or central in etiology ... or central TiTrATE ... of dizziness or vertigo