13 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Central #Peripheral ... #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #neurology #bppv
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
occurs with certain movements ... 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
Peripheral Vertigo ... minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... auditory findings BPPV
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... #Central #Vertigo ... symptoms #comparison #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Illusion of Rotary Movement ... Peripheral Vestibular ... unidirectonal nystagmus ... Bone Fracture Central ... bidirectional nystagmus
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... a stand-alone test ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
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 ... #neurology #vertigo ... #bppv #management
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
Dix-Hallpike Maneuver ... the Diagnosis of BPPV ... The Dix–Hallpike test ... (Nylen Barany test ... #neurology #PhysicalExam
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
Dix-Hallpike Maneuver ... the Diagnosis of BPPV ... (Nylen Barany test ... #neurology #Animated ... #PhysicalExam