3009 results
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
• Unilateral vestibular ... Rombergs #Test #neurology ... proprioception #physicalexam
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
of the central vestibular ... Ophthalmology #Neurology ... Video #Ocular #PhysicalExam
Vertigo - is it central or peripheral? Vertigo is classified into either peripheral or central depending
dysfunction of the vestibular ... the inner ear or vestibular ... semicircular canals, the vestibule ... saccule), and the vestibular ... "otologic" or "vestibular
Vertigo Differential Diagnosis and Management Algorithm
Vertigo: Symptom of illusory movement because of asymmetry in the vestibular
asymmetry in the vestibular ... the labyrinth, vestibular ... nerve, or central vestibular ... Management #Algorithm #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Movement Peripheral Vestibular ... • Labrynthitis/Vestibular ... Fracture Central Vestibular ... Dysfunction - Imbalance, neurologic ... Dizziness #Vertigo #Neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Cogan's syndrome - Vestibular ... Nerve (CN VIII): Vestibular ... neuroma (a.k.a. vestibular ... zoster oticus), Vestibular ... differential #diagnosis #neurology
Vestibular Schwannoma (Acoustic Neuroma) 
Clinical 
 • Hearing loss and tinnitus (Cochlear nerve) 
 • Ataxia
Vestibular Schwannoma ... ) • Ataxia (Vestibular ... Observation #Vestibular
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... position change • Neurologic ... horizontal canal) Vestibular ... auditory symptoms (vestibular ... differential #diagnosis #neurology
TiTrATE Approach to Vertigo
TiTrATE approach stands for Timing, Triggers and Targeted Examination.
4 vestibular syndromes that are
Examination. 4 vestibular ... Triggered episodic vestibular ... Spontaneous episodic vestibular ... Spontaneous acute vestibular ... Titrate #algorithm #vestibular
Stroke Mimics - Differential Diagnosis - MINT Mnemonic
 • Metabolic: Hyper-glycemia, Hypoglycemia, Wernicke's encephalopathy, Mitochondrial Encephalopathy
Bell's palsy (HSV), Vestibular ... CNS abscess • Neurologic ... MINT #Mnemonic #neurology