Get the HINTS EXAM Handout Here!
The most common causes of ACUTE VESTIBULAR SYNDROME are vestibular neuritis (often called labyrinthitis) and ischemic stroke in the brainstem or cerebellum. Vertebrobasilar ischemic stroke may closely mimic peripheral vestibular disorders, with obvious focal neurologic signs absent in more than half of people presenting with AVS due to stroke.
Computed tomography (CT) has >>>poor sensitivity in acute stroke<<<<, and diffusion-weighted magnetic resonance imaging (MRI) misses up to one in five strokes in the posterior fossa in the first 24–48 hours.
We'll discuss:
- A very interesting patient case where I used the HINTS Exam and I was able to differentially diagnose the patient with LEFT medullary stroke
- The importance of performing HINTS Exam
- The part of the HINTS Exam and How-To-Do
- What should you expect as a result for a POSITIVE HINTS Exam?
Here are the articles if you want to read more!
https://pmc.ncbi.nlm.nih.gov/articles/PMC6312070/pdf/svn-2018-000160.pdf
https://www.stroke.org/-/media/data-import/downloadables/f/4/e/acute-dizziness-ucm_497693.pdf
https://pmc.ncbi.nlm.nih.gov/articles/PMC3114934/pdf/183e571.pdf
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