23 results
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 ... findings BPPV • Short-lived ... #Algorithm #differential
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential ... unidirectonal nystagmus ... Dysfunction - Imbalance, neurologic ... bidirectional nystagmus ... #Neurology #Differential
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... usually Posterior Inferior ... Nausea/vomiting/vertigo ... /nystagmus - Vestibular ... #Wallenbergs #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... : Purely vertical ... symptoms #comparison #neurology
Differential Diagnosis of Transient Ischemic Attack and Stroke
 - TIA/stroke 
 - Seizure 
 - Hypoglycemia/hyperglycemia
Differential Diagnosis ... demyelination) - Cervical ... Benign paroxysmal vertigo ... Mimics #CVA #TIA #Differential ... #Diagnosis #Neurology
Vertical Nystagmus and Ophthalmoplegia on Physical Exam in Wernicke Encephalopathy

Dr. Bruno Farnetano @bruno.farnetano

#Vertical #Nystagmus #Ophthalmoplegia #Wernicke
Vertical Nystagmus ... bruno.farnetano #Vertical ... #Nystagmus #Ophthalmoplegia ... PhysicalExam #clinical #ophthalmology ... #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... Occlusion of posterior inferior ... with significant neurologic ... #Causes #differential ... #diagnosis #neurology
Vertical Nystagmus on Slit Lamp Ocular Examination

Often an indicator of a central lesion. This patient was
Vertical Nystagmus ... By Ophthalmology ... ophthalmobcn #Vertical ... #Nystagmus #PhysicalExam ... #neurology #SlitLamp
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Downbeat nystagmus ... symptomatic from vertical ... The differential ... #Vertical #Ophthalmology ... #Neurology #Clinical
Torsional (Rotary) Nystagmus 
Torsional Nystagmus refers to a rotary movement of the globe about its anteroposterior
Torsional Nystagmus ... horizontal or vertical ... nystagmus. ... clinical #video #ophthalmology ... #neurology