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.
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Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Chief, Division of Emergency Critical Care
Director, Resuscitation and Acute Critical Care Unit
Stony Brook Medicine
Stony Brook, NY, USA
No conflicts of interest (coi).
Professor
Chief, Division of Emergency Critical Care
Director, Resuscitation and Acute Critical Care Unit
Stony Brook Medicine
Stony Brook, NY, USA
No conflicts of interest (coi).
Latest posts by Scott Weingart, MD FCCM (see all)
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…..
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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
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