12 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 ... #HINTS #Exam #PhysicalExam ... Central #Peripheral #Neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... PSC BPPV after Dix ... Hallpike Maneuver ... clinical #video #physicalexam ... ophthalmology #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... PSC BPPV after Dix ... Hallpike Maneuver ... clinical #video #physicalexam ... ophthalmology #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... The test is positive ... is rotational nystagmus ... TylerLarsenMD #Dix ... #neurology #vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... Méniére's disease ... differential #diagnosis #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... and torsional nystagmus ... ) • Epley maneuver ... seen) • Epley maneuver ... Labyrinthitis #diagnosis #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... 45° towards the test ... throughout the test ... affected ear #Dix ... Instructions #Diagnosis #neurology
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
Dix-Hallpike Maneuver ... test (Nylen Barany ... maneuver used to ... Diagnosis #BPPV #neurology ... #Animated #PhysicalExam
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
Dix-Hallpike Maneuver ... test (Nylen Barany ... maneuver used to ... Diagnosis #BPPV #neurology ... #PhysicalExam