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diagnosis symptoms differential neurology clinical physicalexam pathophysiology management video algorithm causes vertigo sign rheumatology maneuver cardiology msk ophthalmology photo treatment
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) • Latency (delay
Positional Vertigo (BPPV ... Latency (delay in nystagmus ... and torsional nystagmus ... testing #findings #signs ... #bppv #vertigo
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
than a minute for BPPV ... vestibular neuritis • Nystagmus ... posterior canal BPPV ... circulation TIA • Nystagmus ... diagnosis #findings #signs
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Parinaud's Syndrome ... Convergence retraction nystagmus ... retraction (Collier's sign ... → "setting sun sign ... gabifpucci #Parinauds #Syndrome
TiTrATE Approach to Vertigo TiTrATE approach stands for Timing, Triggers and Targeted Examination. 4 vestibular syndromes that are
4 vestibular syndromes ... episodic vestibular syndrome ... (eg BPPV, orthostatic ... acute vestibular syndrome ... acute vestibular syndrome
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... Convergence retraction nystagmus ... retraction (Collier's sign ... "setting sun" sign ... neudrawlogy #Parinauds #syndrome
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... diagnosis #neurology #bppv
Dix-Hallpike Maneuver for BPPV Procedure: 1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... Nystagmus 2. ... right ear, the nystagmus ... fast phase of the nystagmus ... DixHallpike #Maneuver #BPPV
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Positional Vertigo (BPPV ... and torsional nystagmus ... consistent with BPPV ... ) #Vertigo #BPPV
Ramsay Hunt Syndrome - Herpes Zoster Oticus Triad: 1. Ipsilateral facial paralysis 2. Ear pain 3. Vesicles
Ramsay Hunt Syndrome ... Guillain-Barré syndrome ... • Stroke syndromes ... #RamsayHunt #Syndrome ... Diagnosis #Symptoms #Signs
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver This is a case of right posterior semicircular
Ocular Nystagmus ... in PSC BPPV after ... semicircular canal BPPV ... anti-clockwise nystagmus ... #BPPV #Posterior
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