11 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
HINTS Exam - Bidirectional ... Nystagmus In ... Bidirectional #Nystagmus ... #HINTS #PhysicalExam ... Video #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
HINTS Exam - Unidirectional ... Nystagmus - Left-beating ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam ... Video #Negative #Neurology
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... Impulse Test Nystagmus ... JayLin3455 #HINTS ... Central #Peripheral #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS ... Vertigo #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with an AVS with nystagmus ... #PhysicalExam #Neurology ... #Testing #HIT #HINTS
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
unidirectonal nystagmus ... Dysfunction - Imbalance, neurologic ... symptoms/signs, ... bidirectional nystagmus ... Dizziness #Vertigo #Neurology
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Convergence retraction nystagmus ... retraction (Collier's sign ... → "setting sun sign ... diagnosis #pineal #neurology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Convergence retraction nystagmus ... retraction (Collier's sign ... "setting sun" sign ... Parinauds #syndrome #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... diagnosis #findings #signs ... symptoms #comparison #neurology
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Lhermitte’s sign ... Incontinence • VISUAL: Nystagmus ... Signs and symptoms ... objective evidence of neurologic ... diagnosis #management #neurology