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Review
. 2020 Sep;40(3):e49-e61.
doi: 10.1097/WNO.0000000000000980.

Dizziness and Vertigo: The Skillful Examination

Ari A Shemesh  1 , Daniel R Gold
Affiliations
Review

Dizziness and Vertigo: The Skillful Examination

Ari A Shemesh et al. J Neuroophthalmol. 2020 Sep.

Abstract

Background: The visual, ocular motor and vestibular systems have intimate neural and close anatomical relationship that dictates their assessment in a patient with dizziness and vertigo.

Results: Recognition of the pearls and pitfalls of a targeted clinical examination HINTS/HINTS "Plus" allows the clinician to probe at the bedside the most crucial hypothesis in a patient with acute isolated vestibular syndrome, "Is this a stroke?"

Conclusion: By applying a methodical approach to examination of patients with dizziness and vertigo, localization of the offending lesion, management, and even elucidation of the underlying diagnosis is feasible.

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References

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    1. Kattah JC. Use of HINTS in the acute vestibular syndrome. An overview. Stroke Vasc Neurol. 2018;3:190–196.
    1. Choi KD, Lee H, Kim JS. Ischemic syndromes causing dizziness and vertigo. Handb Clin Neurol. 2016;137:317–340.
    1. Gold DR. Abnormal Head Impulse Test in Vestibular Neuritis 1 Week after Onset. Video. [Neuro-Ophthalmology Virtual Education Library: NOVEL Web Site]. 2019. Available at: https://collections.lib.utah.edu/ark:/87278/s6x398q2. Accessed February 15, 2019.
    1. Gold DR, Tourkevich R. Video Head Impulse Testing. Video. [Neuro-Ophthalmology Virtual Education Library: NOVEL Web Site]. 2018. Available at: https://collections.lib.utah.edu/ark:/87278/s62n91vq. Accessed February 15, 2019.

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