47 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... (BPPV) • Latency ... toward the downward ear ... with repeated testing ... findings #signs #bppv
Causes of Vertigo - Differential Diagnosis Algorithm
#Diagnosis #Neurology #Dizziness #Peripheral #Central #Algorithm #BPPV #Differential #Ddxof
Causes of Vertigo ... Algorithm #Diagnosis #Neurology ... Central #Algorithm #BPPV
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... with vascular causes ... auditory findings BPPV ... positional episodes caused ... or supine roll test
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... posterior canal BPPV ... (BPPV); worsens ... with vascular causes ... symptoms #comparison #neurology
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing ... #Peripheral #Neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... (BPPV) From Vestibular ... consistent with BPPV ... #BPPV #Vestibular ... Labyrinthitis #diagnosis #neurology
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... distinguishing between causes ... (BPPV): - Timing ... Continuous episodes, lasting ... Recurrent episodes lasting
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... for a CENTRAL cause ... of vertigo. ... Vertical #Skew #Test ... Clinical #Video #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... following a finger) • Test ... 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 ... a patient with vertigo ... for a PERIPHERAL cause ... of vertigo. ... Clinical #Video #Neurology