29 results
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... consistent with BPPV ... ) • Epley maneuver ... seen) • Epley maneuver ... Labyrinthitis #diagnosis #neurology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for ... Treatment of BPPV ... positional #vertigo #neurology ... clinical #video #physicalexam ... #management
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... auditory findings BPPV ... No auditory symptoms ... Méniére's disease ... Long symptom-free
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Pupillary Defect This maneuver ... alternating light test ... It is a clear sign ... Pupillary #Defect #Neurology ... Pupils #MacrusGunn #PhysicalExam
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Positional Vertigo (BPPV ... Reproduction of vertigo symptoms ... #dixhallpike #physicalexam ... testing #findings #signs
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
for BPPV Procedure ... 45° towards the test ... throughout the test ... Vertiginous symptoms ... #Diagnosis #neurology
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
(Romberg's sign ... • Cerebellar disease ... Unilateral vestibular disease ... #neurology #diagnosis ... proprioception #physicalexam
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... tinnitus (Méniére's disease ... diagnosis #findings #signs ... #symptoms #comparison ... #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... The test is positive ... Dix #HaIlpike #Maneuver ... #neurology #vertigo ... #bppv #management
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
positional vertigo (BPPV ... Méniére's disease ... course of the disease ... Disease onset usually ... signs or symptoms