Dizziness and Vertigo: The Skillful Examination

Ari A. Shemesh, Daniel R. Gold

Research output: Contribution to journalReview articlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)e49-e61
JournalJournal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
Volume40
Issue number3
DOIs
StatePublished - Sep 1 2020

ASJC Scopus subject areas

  • Medicine(all)

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