16 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... for a CENTRAL cause ... Video by Dr. ... Bidirectional #Nystagmus ... #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... for a PERIPHERAL cause ... Video by Dr. ... Unidirectional #Nystagmus ... #Negative #Neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... Diagnosis Algorithm ... unidirectonal nystagmus ... bidirectional nystagmus ... #Neurology #Differential
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis 1) Vertigo ... instability 3) Nausea ... vestibular CN VIII • Nystagmus ... Labyrinthitis #Diagnosis ... Symptoms #Signs #Otolaryngology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... with vascular causes ... • Nystagmus: ... #neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... Convergence #retraction #nystagmus ... physicalexam #clinical #video ... #neurology #ophthalmology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Congenital Nystagmus ... Diagnosis: Congenital ... achromatopsia, & formal ophthalmology ... ocular #clinical #video ... #neurology #ophthalmology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
of Vertigo Peripheral ... Causes (Common) ... (a.k.a. herpes zoster ... #differential #diagnosis ... #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... with vascular causes ... circulation TIA • Nystagmus ... #diagnosis #findings ... symptoms #comparison #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Clinical Findings: • Nausea ... /vomiting/vertigo ... /nystagmus - Vestibular ... #diagnosis