34 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Nystagmus Test ... #PhysicalExam #Testing ... #Vertigo #Central ... #Peripheral #Neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Causes of Vertigo ... Peripheral Causes ... #Peripheral #Central ... #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
cause of AVS and ... cause of AVS. ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #Testing #HIT #
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... This patient as ... cause of vertigo ... Video by Dr. ... #Neurology #Vertigo
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral ... following a finger) • Test ... #Peripheral #Vertigo ... #diagnosis #neurology ... bppv #comparison #table
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... with vascular causes ... #Central #Vertigo ... #diagnosis #findings
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... distinguishing between causes ... of peripheral vertigo ... #diagnosis #comparison ... #table
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Peripheral Vertigo ... may be present Central ... Méniére's disease ... #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Diagnosis Algorithm ... Rotary Movement Peripheral ... • Meniere's Disease ... Bone Fracture Central ... #Neurology #Differential
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... and Central Vertigo ... PERIPHERAL VERTIGO ... CENTRAL VERTIGO ... #Peripheral #Central