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1 3-Component_H.I.N.T.S._battery3-Component H.I.N.T.S. batteryDescribes the 3-Component H.I.N.T.S. (Head Impulse, Nystagmus, Test of Skew) battery. A wide-angle view of the tests is followed by a close-up view. Please note that in the wide-angle view, the order of the tests is as would be typically conducted in practice (searching first for spontaneous nystagm...Horizontal Head Impulse Test, Nystagmus, Test of Skew; Neurological Examination
2 NewmanToker_NewApproachToDizzyPatient_May2010_NOVELA New Approach to the Dizzy PatientBest evidence suggests that a shift in emphasis in clinical assessment away from dizziness type and towards dizziness timing and triggers will probably yield more accurate and reliable diagnostic results, particularly for patients presenting with new, acute dizziness symptoms. This paper describes t...Dizziness; Neurological Examination
3 NewmanToker_AcuteVestibularSyndrome_May2010_NOVELAcute Vestibular Syndrome SyllabusThis syllabus provides an overview of acute vestibular syndrome, a clinical condition condition characterized by dizziness of vertigo that develops acutely (over seconds, minutes or hours); may be accompanied by nausea/vomiting, gait instability, nystagmus, or head-motion intolerance . It describes ...Acute Vestibular Syndrome; Horizontal Head Impulse Test, Nystagmus, Test of Skew; Penlight-Cover Test; Neurological Examination
4 NewmanToker_Video2b_AICAstroke_DirChngNystag.wmvCentral Lesion with Direction-Changing NystagmusWith central causes of acute vestibular syndrome, it is not uncommon for the nystagmus to have a gaze-evoked component due to failure of gaze-holding circuits in the cerebellum or brainstem. In such instances, the nystagmus may reverse direction when the patient looks in the direction of the slow ph...Stroke; Nystagmus
5 Dix-Hallpike_testDix-Hallpike test for the left posterior semicircular canalShows the diagnostic Dix-Hallpike maneuver for the left posterior semicircular canalDix-Hallpike Maneuver; Neurological Examination; Posterior Semicircular Canals
6 NewmanToker_EpisodicVestibularSyndrome_May2010_NOVELEpisodic Vestibular Syndrome SyllabusThis syllabus provides an overview of Episodic Vestibular Syndrome (EVS), a clinical condition characterized by recurrent dizziness of vertigo that develops acutely (over seconds, minutes or hours); may be accompanied by nausea/vomiting, gait instability, nystagmus, or head-motion intoleranceEpisodic Vestibular Syndrome (EVS); Transient Spontaneous Dizziness; Neurological Examination
7 NewmanToker_NeurovestibularExamination_May2010_NOVELNeuro-Vestibular Examination SyllabusThis syllabus provides an overview of the neuro-vestibular examination, including descriptions of the Head Impulse Test, VOR Cancellation Test, Dix-Hallpike Test and the Modified Epley Maneuver.Neuro-Vestibular Examination; Head Impulse Test; VOR Cancellation Test; Dix-Hallpike Test; Modified Epley Maneuver; Neurological Examination; Ocular Motility
8 Penlight-cover_TestPenlight-cover TestIllustrates the penlight-cover test used to compare spontaneous nystagmus with and without fixationSpontaneous Ocular Nystagmus; Penlight-Cover Test; Neurological Examination
9 NewmanToker_Video2a_APV_DirFixedNystag.wmvPeripheral Lesion with Direction-Fixed NystagmusTypical spontaneous nystagmus associated with acute peripheral vestibular lesions is dominantly horizontal in vector and generally beats in one direction regardless of the eye position within the orbits. The nystagmus is usually present in the primary position, increases in gaze toward the direction...Nystagmus
10 DNT1.pptSkew Deviation and the Ocular Tilt ResponseThe objectives of this presentation are to provide an understanding of the current use of the terms "ocular tilt reaction" and "skew deviation," to create some familiarity with the anatomic and physiologic substrate of ocular tilt and skew, and to demonstrate how to distinguish between skew and isol...Vertical strabismus; Cyclovertical strabismus; Skew deviation; Vestibulo-ocular reflex; Ocular tilt reaction; Vestibular pathways; Vestibular ocular system
11 NewmanToker_Supine-Roll-Test_NOVELSupine Roll Test (Pagnini-McClure Maneuver)This video illustrates bedside technique for the supine roll test (also known as the Pagnini-McClure maneuver) for horizontal canal benign paroxysmal positional vertigo (BPPV).This maneuver is specific for horizontal canal BPPV in the same way that the Dix-Hallpike maneuver is specific for posterior...Supine Roll Test; dizziness; vertigo; positional vertigo; benign paroxysmal positional vertigo
12 200-3Vestibulo-Ocular Reflex (VOR) CancellationShows the vestibulo-ocular reflex (VOR) cancellation test. Inlcudes a close-up view.Vestibulo-Ocular Reflex (VOR); Neurological Examination
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