16 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... PhysicalExam #Testing #Vertigo ... Central #Peripheral #Neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... and torsional nystagmus ... ) • Epley maneuver ... seen) • Epley maneuver ... Labyrinthitis #diagnosis #neurology
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 ... Positive Hallpike test ... or supine roll test
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... following a finger) • Test ... Central #Peripheral #Vertigo ... #diagnosis #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... The test is positive ... is rotational nystagmus ... Dix #HaIlpike #Maneuver ... #neurology #vertigo
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... after Dix Hallpike Maneuver ... Dix #Hallpike #Maneuver ... #physicalexam #ophthalmology ... #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... 45° towards the test ... throughout the test ... #DixHallpike #Maneuver ... Instructions #Diagnosis #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... after Dix Hallpike Maneuver ... Dix #Hallpike #Maneuver ... #physicalexam #ophthalmology ... #neurology #Frenzel
Characteristic eye movements found in spasmus nutans

Spasmus nutans is an acquired form of nystagmus that occurs
movements found in spasmus ... nutans Spasmus ... Eye Center #Spasmus ... #Ophthalmology ... #Neurology #Clinical
Characteristic eye movements found in Spasmus Nutans

Spasmus Nutans is an acquired form of nystagmus that occurs
movements found in Spasmus ... Nutans Spasmus ... Eye Center #Spasmus ... #Monocular #Ophthalmology ... #Neurology #Clinical