36 results
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
- Vascular - Stroke ... Eric Strong @DrEricStrong ... - Strong Medicine ... #differential #diagnosis ... #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Posterior Circulation Stroke ... Nausea/vomiting/vertigo ... #Wallenbergs #neurology ... #diagnosis
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... Eric Strong @DrEricStrong ... - Strong Medicine ... #differential #diagnosis ... #neurology #management
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... with eyes fixed on ... Have patient look left ... Central #Peripheral #Vertigo ... #diagnosis #neurology
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... sides 2) Right-left ... copy Causes: Stroke ... neudrawlogy #Gerstmann #Syndrome ... #neurology #diagnosis
One-and-a-Half Syndrome
1 - One eye cannot move AT ALL horizontally
1/2 - The other eye can only
One-and-a-Half Syndrome ... 1 - One eye cannot ... Multiple Sclerosis), Stroke ... #Half #Syndrome ... #diagnosis #neurology
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
Pyramidal Drift) on ... the left side in ... PhysicalExam #clinical #video ... #neurology #cva ... #stroke
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(Wallenberg's syndrome ... the headache (in one ... Syndrome usually ... #differential #diagnosis ... #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Neuro Findings: None ... can be severe in stroke ... direction-changing on ... #diagnosis #findings ... symptoms #comparison #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... the follow up video ... this are tumors, strokes ... the hospital, diagnosed ... ophthalmology #neurology