15 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #Neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... worrisome for a CENTRAL ... Video by Dr. ... #Positive #Neurology ... #Central #Vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... may be present Central ... vascular causes • Nystagmus ... (posterior canal
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... worrisome for a CENTRAL ... Video by Dr. ... #Neurology #Vertigo ... #Central
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... Video by Dr. ... PhysicalExam #Clinical #Video ... #Neurology #Vertigo ... #Central
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral Vertigo ... examiners nose • Nystagmus ... following a finger) • Test ... #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... forehead) in classic posterior ... , such as with posterior ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... due to Posterior ... /nystagmus - Vestibular ... Palatal myoclonus - Central ... #Wallenbergs #neurology
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 ... #PhysicalExam #Neurology ... VestibularSyndrome #Posterior
Vertical Nystagmus on Slit Lamp Ocular Examination

Often an indicator of a central lesion. This patient was
Vertical Nystagmus ... indicator of a central ... By Ophthalmology ... PhysicalExam #clinical #video ... #neurology #SlitLamp