6 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral ... #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
#Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA ... #Peripheral #Central ... #HeadImpulse #Testing
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... and Central Vertigo ... PERIPHERAL VERTIGO ... Nystagmus: Purely vertical ... symptoms #comparison #neurology
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
components: targeted neurologic ... In one study, adding ... if the cause is peripheral ... CNS, Central nervous ... AVS #Posterior #CVA
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... sensitivity showing cortical ... narrowing on MRA/CTA ... thrombosis Testing ... diagnosis #management #neurology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
common of the central ... symptomatic from vertical ... differential for down-beating ... Ophthalmology #Neurology ... Video #Ocular #PhysicalExam