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HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral ... #diagnosis #neurology ... #bppv #comparison ... #table
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... #diagnosis #findings ... signs #symptoms #comparison ... #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Vertigo Peripheral ... may be present Central ... auditory findings BPPV ... • Short-lived ... Positive Hallpike
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... for BPPV Procedure ... head with your hands ... #Instructions #Diagnosis ... #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
and Central Vertigo ... positional vertigo (BPPV ... ) - Short-lived ... #Peripheral #Central ... #differential #diagnosis