13 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 ... #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #neurology #bppv
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 ... auditory findings BPPV ... differential #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Central Vertigo ... vestibular neuritis • Nystagmus ... labyrinthitis) CENTRAL ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... to the left and ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... torsional nystagmus ... and reproduction ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... peripheral cause of AVS and ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Turn head to 45° and ... The test is positive ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
the Diagnosis of BPPV ... The Dix–Hallpike test ... (Nylen Barany test ... identify posterior BPPV ... #neurology #PhysicalExam
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
the Diagnosis of BPPV ... The Dix–Hallpike test ... (Nylen Barany test ... #neurology #Animated ... #PhysicalExam