7 results
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... 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 ... vascular causes • Nystagmus ... auditory findings BPPV ... or supine roll test
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 ... Labyrinthitis #diagnosis #neurology ... #comparison
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... (BPPV); worsens ... circulation TIA • Nystagmus ... signs #symptoms #comparison ... #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
The test is positive ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... 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
for Treatment of BPPV ... Allow any nystagmus ... Again, allow any nystagmus ... #neurology #instructions ... #clinical #video