12 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... change • Neurologic ... Positive Hallpike ... Positive head impulse ... differential #diagnosis #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... CENTRAL cause of vertigo ... Clinical #Video #Positive ... #Neurology #Central ... #Vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... Hallpike test: Positive ... in head-hanging position ... impulse test: Positive ... Labyrinthitis #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Migraine with Aura
Diagnostic Criteria (ICHD-3):
A) At least 2 attacks fulfilling criteria B and C:
B) One or
• Brainstem: Vertigo ... aura symptom is positive ... diagnosis #criteria #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... remains in this position ... paroxysmal #positional #vertigo ... #neurology #instructions
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... The test is positive ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Brandt Daroff Exercise for Treatment of BPPV
This maneuver resembles the Semont maneuver. Also, this maneuver is
upright, seated position ... into the lying position ... seconds or until the vertigo ... BPPV #positional #vertigo ... #neurology #instructions
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
any nystagmus or vertigo ... shoulder down position ... any nystagmus or vertigo ... to the seated position ... #neurology #instructions
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
any nystagmus or vertigo ... shoulder down position ... any nystagmus or vertigo ... to the seated position ... #neurology #instructions