47 results
Causes of Vertigo - Differential Diagnosis Algorithm
#Diagnosis #Neurology #Dizziness #Peripheral #Central #Algorithm #BPPV #Differential #Ddxof
Causes of Vertigo ... Algorithm #Diagnosis #Neurology ... #Dizziness #Peripheral ... Central #Algorithm #BPPV
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing ... Vertigo #Central #Peripheral ... #Neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
after Dix Hallpike Maneuver ... This is a case ... anti-clockwise nystagmus beating ... to left ear. ... ophthalmology #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... Central Vertigo PERIPHERAL ... with vascular causes ... Findings: Rarely #Peripheral ... symptoms #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... consistent with BPPV ... ) • Epley maneuver ... seen) • Epley maneuver ... Labyrinthitis #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... cause of AVS and ... with a central cause ... #PhysicalExam #Neurology ... #HeadImpulse #Testing
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... with vascular causes ... auditory findings BPPV ... positional episodes caused ... differential #diagnosis #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central from Peripheral ... following a finger) • Test ... physicalexam #Central #Peripheral ... Vertigo #diagnosis #neurology ... #bppv #comparison
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... reassuring for a PERIPHERAL ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Peripheral
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
for BPPV Procedure ... 45° towards the test ... throughout the test ... #BPPV #Instructions ... #Diagnosis #neurology