Central vs. Peripheral Vestibulopathy

Thank you, Vikas, for an excellent morning report today. Our applicants really appreciated the strong give and take and got a flavor for our educational approach.

Here’s the reference for the HINTS paper that describes 3 factors suggesting against a peripheral cause for a patient’s acute vertigo:

  • Negative head impulse test
  • Direction-changing nystagmus
  • Skew deviation

The data supplement to this paper has videos showing what these oculomotor signs look like. I encourage residents to view these videos if you don’t have a clear understanding of the above signs.

About Justin A. Sattin

I'm a vascular neurologist and residency program director. I created this blog in order to share some thoughts with my resident and other colleagues, and to foster my own learning as well.
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