13 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 ... Head Impulse Test ... Nystagmus Test ... #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 - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... examiners nose • Nystagmus ... following a finger) • Test ... #diagnosis #neurology ... #bppv #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... may be present Central ... vascular causes • Nystagmus ... auditory findings BPPV
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... labyrinthitis) CENTRAL ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... worrisome for a CENTRAL ... Video by Dr. ... #Neurology #Vertigo ... #Central
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
unidirectonal nystagmus ... Temporal Bone Fracture ... Central Vestibular ... bidirectional nystagmus ... #Neurology #Differential
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... Video by Dr. ... PhysicalExam #Clinical #Video ... #Neurology #Vertigo ... #Central
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... and torsional nystagmus ... consistent with BPPV ... #BPPV #Vestibular ... Labyrinthitis #diagnosis #neurology
Abnormal Test of Skew indicating central process

via @neurologiabr

#Abnormal #Vertical #Skew #Test #HINTS #PhysicalExam #Clinical #Video #Neurology
Abnormal Test of ... Skew indicating central ... PhysicalExam #Clinical #Video ... #Neurology #Vertigo ... #Central