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vertigo central peripheral physicalexam clinical management symptoms anisocoria behcet causes differential disease findings half hints horners labyrinthitis ms multiple neuritis
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... Central #Vertigo #diagnosis ... #findings #signs ... #symptoms #comparison ... #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... left, right, up and ... Peripheral #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... Convergence retraction nystagmus ... "setting sun" sign ... Dorsal midbrain and ... #neurology #diagnosis
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Positional Vertigo (BPPV ... torsional nystagmus ... consistent with BPPV ... Labyrinthitis #diagnosis ... #neurology #comparison
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
One and a Half Syndrome ... A nystagmus in far ... the hospital, diagnosed ... #ophthalmology ... #neurology
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 Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... The video highlights ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
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 Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... Incontinence • VISUAL: Nystagmus ... Signs and symptoms ... objective evidence of neurologic ... #management #neurology
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
positional vertigo (BPPV ... (Wallenberg's syndrome ... Syndrome usually ... signs or symptoms ... #differential #diagnosis
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
skin injury) • Neurologic ... ) Differential Diagnosis ... inhibitors • Uveitis- Ophthalmology ... #diagnosis #management ... #signs #symptoms
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