12 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... #HINTS #Exam #PhysicalExam ... #Central #Peripheral ... #Neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
worrisome for a CENTRAL ... cause of vertigo ... Nystagmus #HINTS #PhysicalExam ... Video #Positive #Neurology ... #Central #Vertigo
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
worrisome for a CENTRAL ... cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Impulse Test = Central ... worrisome for a CENTRAL ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
Central retinal artery occlusion (CRAO). Positive "spot sign" on Ocular Ultrasound

78 yo M with sudden onset
Central retinal ... artery occlusion ... Positive "spot sign ... MaimoUltrasound #CRAO #Central ... Embolus #Clinical #POCUS
92F w acute painless monocular vision loss. What's the diagnosis?

...

Central retinal artery occlusion (CRAO)! Retrobulbar "spot
Central retinal ... artery occlusion ... Retrobulbar "spot ... #Clinical #POCUS ... CRAO #SpotSign #Central
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral Vertigo ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #neurology #bppv
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central ... (BPPV) - Short-lived ... CENTRAL VERTIGO ... Occlusion of posterior ... #Peripheral #Central
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Cerebellar Artery occlusion ... Nausea/vomiting/vertigo ... Palatal myoclonus - Central ... #Wallenbergs #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... may be present Central ... position change • Neurologic ... findings BPPV • Short-lived ... differential #diagnosis #neurology