Vertigo history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

History and Symptoms

• Test/Exams to investigate the cause of vertigo:
  • HINTS: Head Impulse, Nystagmus, Test of Skew(cover/uncover test).

To determine if the cause is central or peripheral

Peripheral

Central

Intermittent Positional Associated factors (tinnitus, hearing loss, unsteadiness) Nystagmus (delayed, rotatory/horizontal, adaptive) Stops with visual fixation

Non-positional Assosiated factors (other cranial nerves involvement - facial droop/dysarthria) Nystagmus (immediate/delayed, rotatory/horizontal/vertical, not adaptive Does not stop with visual fixation