9 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... Impulse Test Nystagmus ... #Central #Peripheral ... #Neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... worrisome for a CENTRAL ... Video by Dr. ... #Positive #Neurology ... #Central #Vertigo
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... reassuring for a PERIPHERAL ... Video by Dr. ... #Negative #Neurology ... #Peripheral #Vertigo
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Rotary Movement Peripheral ... unidirectonal nystagmus ... Temporal Bone Fracture ... Central Vestibular ... bidirectional nystagmus
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral ... Vertigo • Head ... examiners nose • Nystagmus ... #Peripheral #Vertigo ... #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... #Central #Vertigo ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... minutes to days • Nystagmus ... Varies • No neurologic ... may be present Central ... vascular causes • Nystagmus
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Semont Liberatory ... Allow any nystagmus ... Again, allow any nystagmus ... #neurology #instructions ... #clinical #video
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Semont Liberatory ... Allow any nystagmus ... Again, allow any nystagmus ... #neurology #instructions ... #clinical #video