50 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... PhysicalExam #Testing #Vertigo
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Latency (delay in nystagmus ... and torsional nystagmus ... and nystagmus escalates ... 30 seconds • Nystagmus
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... vascular causes • Nystagmus ... Positive Hallpike test ... or supine roll test ... Positive head impulse test
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... a patient with vertigo ... CENTRAL cause of vertigo ... Bidirectional #Nystagmus ... Neurology #Central #Vertigo
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... a patient with vertigo ... PERIPHERAL cause of vertigo ... Unidirectional #Nystagmus ... Neurology #Peripheral #Vertigo
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... following a finger) • Test ... Central #Peripheral #Vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... PAROXYSMAL POSITIONAL VERTIGO ... and torsional nystagmus ... reproduction of vertigo ... (2 to 11%) #Vertigo
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
of Dizziness - Vertigo ... Algorithm True Vertigo ... unidirectonal nystagmus ... Paroxysmal Positional Vertigo ... bidirectional nystagmus
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... a patient with vertigo ... CENTRAL cause of vertigo ... Vertical #Skew #Test ... Video #Neurology #Vertigo
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
Abnormal Head Impulse Test ... Normal Head Impulse Test ... a patient with vertigo ... PERIPHERAL cause of vertigo ... Video #Neurology #Vertigo