10 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Peripheral #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... #Central #Peripheral ... #Vertigo #diagnosis ... #neurology #bppv
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Dizziness and Vertigo Peripheral ... minutes to days • Nystagmus ... may be present Central ... auditory findings BPPV
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... HIT) result is positive ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... #diagnosis #findings ... symptoms #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... : Positive usually ... and torsional nystagmus ... Labyrinthitis #diagnosis ... #neurology #comparison
Dix-Hallpike Maneuver for BPPV

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

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
of BPPV (Animated ... ) is a diagnostic ... patient in supine position ... #BPPV #neurology ... #Animated #PhysicalExam
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
test (Nylen Barany ... test) is a diagnostic ... patient in supine position ... #BPPV #neurology ... #PhysicalExam
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... components: targeted neurologic ... if the cause is peripheral ... CNS, Central nervous ... , Nystagmus, and