26 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... symptoms, this ... Bidirectional #Nystagmus ... #PhysicalExam #Clinical ... Video #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... symptoms, this ... Unidirectional #Nystagmus ... #PhysicalExam #Clinical ... Video #Negative #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... No auditory symptoms ... Long symptom-free ... #differential #diagnosis
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential Diagnosis ... vomiting, auditory symptoms ... unidirectonal nystagmus ... symptoms/signs, ... bidirectional nystagmus
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... with significant neurologic ... attacks with varying neurologic ... #differential #diagnosis ... #neurology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... Cooper Neurology ... #PhysicalExam #ocular ... #clinical #video ... #neurology #ophthalmology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
and torsional nystagmus ... patient with a clinical ... patient with a clinical ... Labyrinthitis #diagnosis ... #neurology #comparison
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... #diagnosis #findings ... #signs #symptoms ... #comparison #neurology
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis 1) Vertigo ... hearing loss Clinical ... vestibular CN VIII • Nystagmus ... Labyrinthitis #Diagnosis ... #Symptoms #Signs
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Artery occlusion) Clinical ... /nystagmus - Vestibular ... #Wallenbergs #neurology ... #diagnosis