This is the video for cerebellar stroke diagnosis. Listen to the podcast first.
Video clips are from Dr. David Newman-Toker's site
and from the article:
Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke. 2009 Nov;40(11):3504-10.
Podcast: Play in new window | Download (79.1MB) | Embed
Subscribe: Apple Podcasts | Android | Google Podcasts | RSS | More
Scott Weingart
An ED Intensivist from NY. No conflicts of interest (coi).
Latest posts by Scott Weingart (see all)
- EMCrit 261 – Thrombolysis during Cardiac Arrest - December 12, 2019
- EMCrit 260 – Thoughts on the NEJM Acute Upper Airway Obstruction Review - November 30, 2019
- EMCrit 259 – Cardiogenic Shock — The Next Level & Mechanical Circulatory Support with Jenelle Badulak - November 13, 2019
Cheers for sharing the videos.
The head impulse test looks like it’s taken right out a Steven Seagal movie… I’m half surprised the patient survives!
Chris
I can imagine the patient reaction if previously he was affected by vertigo…..
[…] From Dr. Scott Weingart’s video supplement to his EMCrit podcast on posterior strokes. […]
[…] was promoted previously in an emcrit podcast with a video demonstrating the […]
[…] VIDEO LINK for HINTS exam: https://emcrit.org/misc/posterior-stroke-video/ […]
[…] may be a bit overwhelming so I recommend watching this great video describing the HINTS exam […]
[…] Video for Diagnosing Posterior Stroke. This is the video for cerebellar stroke diagnosis. Listen to the podcast [above] first.Video clips are from Dr. David Newman-Toker’s site and from the article: Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke. 2009 Nov;40(11):3504-10. […]
[…] and we would recommend that the reader watches a video demonstration either on YouTube or at (https://emcrit.org/misc/posterior-stroke-video). This exam compromises three specific […]
[…] or purely vertical with no rotatory component the cause is almost certainly central. The HINTS exam can help differentiate a peripheral vs. central cause of acute vestibular syndrome, although this […]
[…] is a common presenting patient complaint. When is it serious and when is it benign. For back pocket HINTS on how to differentiate Posterior Circulation Strokes from weak and dizzy listen to this September […]
seven years later, i agree with Chris. i would not have been surprised if the poor woman up and slapped him. also, it might be a way of cleaning the plaques off the carotid circulation, or a thrombus from a carotid or vestibular dissection.
but an excellent review of a common , often difficult differential challenge. as always, thank you, scott
[…] -> https://emcrit.org/emcrit/posterior-stroke-video/ […]