67 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... with vascular causes ... change • Neurologic ... positional episodes caused ... differential #diagnosis #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
for a CENTRAL cause ... of vertigo. ... Clinical #Video #Positive ... #Neurology #Central ... #Vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Hallpike test: Positive ... ) • Epley maneuver ... impulse test: Positive ... seen) • Epley maneuver ... Labyrinthitis #diagnosis #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central Causes ... of Vertigo Peripheral ... Causes (Common) ... Wallenberg syndrome ... differential #diagnosis #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... without an obvious cause ... (Wallenberg's syndrome ... Syndrome usually ... #Causes #differential
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
- Wallenberg's Syndrome ... Acute continuous vertigo ... Clinical Findings: • Nausea ... /vomiting/vertigo ... #Wallenbergs #neurology
Brandt Daroff Exercise for Treatment of BPPV
This maneuver resembles the Semont maneuver. Also, this maneuver is
Daroff Exercise for Treatment ... seconds or until the vertigo ... eases off, whichever ... BPPV #positional #vertigo ... #neurology #instructions
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... with vascular causes ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for ... Treatment of BPPV ... jmcchiefs #Epley #Maneuver ... paroxysmal #positional #vertigo ... #neurology #instructions
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... patient to a supine position ... The test is positive ... Dix #HaIlpike #Maneuver ... #neurology #vertigo