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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... Head Impulse Test ... Nystagmus Test ... 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 ... following a finger) • Test ... TylerLarsenMD #HINTS ... Vertigo #diagnosis #neurology
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
evaluation of dizziness ... (HINTS = head-impulse ... , nystagmus, test ... and evolution of dizziness ... ) that provoke dizziness
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Algorithm for Dizziness ... minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... intervals #Dizziness
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... a stand-alone test ... with an AVS with nystagmus ... #PhysicalExam #Neurology ... #Testing #HIT #HINTS
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
45° towards the test ... throughout the test ... Nystagmus 2. ... Dix #Hallpike #DixHallpike ... Instructions #Diagnosis #neurology
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
different (see text ... components: targeted neurologic ... , Head Impulse Test ... , Nystagmus, and ... Test of Skew.
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
The Dix–Hallpike test ... (Nylen Barany test ... should repeat this test ... Dix #Hallpike #DixHallpike ... Diagnosis #BPPV #neurology
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
The Dix–Hallpike test ... (Nylen Barany test ... should repeat this test ... Dix #Hallpike #DixHallpike ... Diagnosis #BPPV #neurology