15 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... symptoms, this ... worrisome for a CENTRAL ... Bidirectional #Nystagmus ... Positive #Neurology #Central
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
vomiting, auditory symptoms ... unidirectonal nystagmus ... Bone Fracture Central ... /signs, bidirectional ... nystagmus - Infection
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Latency (delay in nystagmus ... symptoms in head-hanging ... and torsional nystagmus ... and nystagmus escalates ... testing #findings #signs
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... #findings #signs ... #symptoms #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... No auditory symptoms ... Long symptom-free
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central ... Long symptom-free ... CENTRAL VERTIGO ... varying neurologic signs ... #Peripheral #Central
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis 1) Vertigo ... vestibular CN VIII • Nystagmus ... Labyrinthitis #Diagnosis #Symptoms ... #Signs #Otolaryngology
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
head-impulse, nystagmus ... peripheral or central ... peripheral or central ... of dizziness or vertigo ... Timing of the symptom
Symptoms and Signs of Hypomagnesemia
Neuromuscular:
 - Tetany, Muscle weakness, Chvostek and Trousseau signs, Cerebellar (ataxia, nystagmus,
Symptoms and Signs ... and Trousseau signs ... Cerebellar (ataxia, nystagmus ... , vertigo), Confusion ... Hypomagnesemia #magnesium #Symptoms
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
disease of the central ... /SYMPTOMS: • CENTRAL ... Incontinence • VISUAL: Nystagmus ... Signs and symptoms ... /or cerebellar symptoms