18 results
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 ... #PhysicalExam #Testing ... Central #Peripheral #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 head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with an AVS with nystagmus ... #PhysicalExam #Neurology ... #HeadImpulse #Testing ... #HIT #HINTS
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
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.
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
) • Hallpike test ... and torsional nystagmus ... ) • Epley maneuver ... seen) • Epley maneuver ... Labyrinthitis #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... or supine roll test ... Vertigo #Algorithm #differential
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... 45° towards the test ... throughout the test ... #DixHallpike #Maneuver ... Instructions #Diagnosis #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... after Dix Hallpike Maneuver ... beating to left ... Dix #Hallpike #Maneuver ... ophthalmology #neurology
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
Dix-Hallpike Maneuver ... The Dix–Hallpike test ... (Nylen Barany test ... is a diagnostic maneuver ... Diagnosis #BPPV #neurology