The HINTS exam - quick review
18,367
Published 2023-10-19
All Comments (18)
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Absolutely amazing . Straight to the point and clear explanations
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This is by far the best vertigo resource anywhere. Amazing content!
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Best ever explanation!
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Fantastic and excellent as always Peter, love your content
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Thank you! This video is easy to understand and informative.
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❤❤❤love your presentation as always ❤❤❤
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Thank you very much We use it in Turkiye
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that was clear and concise
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Brilliant.
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Hey, can you do a video outlining the pearls in differences of posterior horizontal and anterior canal BPPV and the relative frequencies? Or as well as the maneuvers to treat them. they’re in prior videos, but it’s hard to access on demand. Maybe include a chart
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Doc, why the vertical vor and torsional arent frequently tested like the horizontal? And one more question if you let me, why the torsional vor has different behavior depending on the speed of head tilt. For example, if the head is tilted very fast to the shoulder, the eyes will have many quick torsional movements to the same side of head tilt, but if the head is move very slowly to the same position there are way less quick torsional eye movements or even none quick torsional eye movements. Thanks
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Thanks Peter for all your efforts. STANDING uses spontaneous nystagmus as indication to do parts of HINTS for AVS. You add nystagmus at rest , which also adds nystagmus at 30 degrees of L/R gaze. Do you think STANDING should / could incorporate your definition of nystagmus at rest? If I had a patient with paroxysmal, episodic vertigo that sounds like BPPV, and not like AVS, but had some horizontal nystagmus at 30 degrees - would you not do a DH test? Or Would you do a HINTS? 😊
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Great videos, they helped me a lot! Just out of curiosity, how do you film while doing the head impulse test, do you have a second person holding the phone or do you have some kind of phone mount? ;)
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Someone asked: "Am I to understand that practically all stroke patients presenting with vertigo have spontaneous nystagmus? What do I do with patients who report persistent vertiginous symptoms (i.e. acute vestibular syndrome) but zero nystagmus and no other neurological findings (e.g. ataxia, diplopia)? Consider it as stroke if the HIT is normal? " For the answer, watch this video at this time stamp. https://youtu.be/MgzhbsxzBdA?t=1098
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hi doctor, just clarifying when you say constant dizziness, do you mean dizziness that isn't just positional dependent like in BPPV, or do you mean dizziness always, all day (as these seems very unlikely for a patient to have).. Thank you!
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Don’t wanna brag but… Dr Johns performed the hallpike test on me during the Eusem congress last year. Just kidding. I actually wanted to brag
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Sr. Could you talk about traumatic BPPV in your next vídeo?
