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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Scott Weingart
An ED Intensivist from NY.
Latest posts by Scott Weingart (see all)
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- EMCrit 239 – Vent Alarms = Code Blue - January 26, 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…..
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[…] 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. […]
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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
[…] -> https://emcrit.org/emcrit/posterior-stroke-video/ […]