25 results
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 ... #Central #Peripheral ... #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
following a finger) • Test ... #Peripheral #Vertigo ... #diagnosis #neurology ... #bppv #comparison ... #table
Causes of Vertigo - Differential Diagnosis Algorithm
#Diagnosis #Neurology #Dizziness #Peripheral #Central #Algorithm #BPPV #Differential #Ddxof
Causes of Vertigo ... - Differential ... Algorithm #Diagnosis #Neurology ... #Dizziness #Peripheral ... #Central #Algorithm
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... a "central vertigo ... #Peripheral #Central ... #Causes #differential ... #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... Varies • No neurologic ... may be present Central ... or supine roll test ... #Algorithm #differential
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... = Central Cause ... This patient as ... Clinical #Video #Neurology ... #Vertigo #Central
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... patients with a peripheral ... patients with a central ... a stand-alone test ... #PhysicalExam #Neurology
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... between causes of peripheral ... #Vertigo #differential ... #diagnosis #comparison ... #table
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... #Central #Vertigo ... signs #symptoms #comparison ... #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential ... Rotary Movement Peripheral ... Bone Fracture Central ... Dysfunction - Imbalance, neurologic ... #Neurology #Differential