FOAMed Question of the day 5 #FOAMedQOTD

What are the components of the HINTS exam?

 

Answer

Comments

  1. head impulse testing, nystagmus (esp vertical nystagmus) & test of skew.
    Tools to ‘assist’ differentiation between peripheral vertigo & cerebellar stroke.

  2. 1. Head impulse testing (positive if peripheral)
    2. Nystagmus – direction changing (+ if central)
    3. Test of skew -esp vertical skew in central lesion

    Paper by David Newman-Toker says it’s a great exam, comparable to MRI. For posterior CVA

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