Thanks again to Jim for giving a very helpful talk on the assessment of ED patients presenting with vertigo.
Head Thrust Test:
Vertigo Assessment Algorithm:
Here is a the article that Jim mentions in his talk. This article, published in Stroke 2009, examines the sensitivity of occulomotor bedside testing (Head-Impulse—Nystagmus—Test-of-Skew or HINTS) compared with early MRI in differentiating peripheral vestibular neuronitis from verterbro-basilar strokes as the cause of acute vestibular syndrome (AVS) :
Here are some other useful resources:
EMCrit podcast on the diagnosis of posterior stroke with associated examination video (below) from Dr David Newman-Toker’s website:
Epley’s Manoeuvre for BPPV Handout:
Epley’s video demonstration: