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Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior

Acute continuous vertigo ... due to Posterior ... Clinical Findings: • Nausea ... /vomiting/vertigo ... #Wallenbergs #neurology

Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
• Attacks: Sudden, severe, can last anywhere from seconds

Varies • No neurologic ... with vascular causes ... position change • Neurologic ... positional episodes caused ... Hallpike test (posterior

Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
- Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,

Peripheral and Central Causes ... of Vertigo Peripheral ... Causes (Common) ... Wallenberg syndrome ... differential #diagnosis #neurology

HINTS Exam - Bidirectional Nystagmus

In a patient with vertigo symptoms, this finding is worrisome for

for a CENTRAL cause ... of vertigo. ... Video by Dr. ... PhysicalExam #Clinical #Video ... #Positive #Neurology

HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring

for a PERIPHERAL cause ... of vertigo. ... Video by Dr. ... PhysicalExam #Clinical #Video ... #Negative #Neurology

HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this

for a CENTRAL cause ... of vertigo. ... Video by Dr. ... PhysicalExam #Clinical #Video ... #Neurology #Vertigo

Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less

Causes of Peripheral ... without an obvious cause ... Occlusion of posterior ... (Wallenberg's syndrome ... Syndrome usually

HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this

for a PERIPHERAL cause ... of vertigo. ... Video by Dr. ... PhysicalExam #Clinical #Video ... #Neurology #Vertigo

HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test

Test = Peripheral Cause ... for a PERIPHERAL cause ... of vertigo. ... Video by Dr. ... #Neurology #Vertigo

HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse

Test = Central Cause ... for a CENTRAL cause ... Video by Dr. ... PhysicalExam #Clinical #Video ... #Neurology #Vertigo

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