A Case of Acute Peripheral Vertigo: Using the HINTS Exam to guide diagnostic workup

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Submitted: October 12 2018
Published: Mar 8, 2019
DOI: 10.29328/journal.acr.1001011

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Gerard Thong
Department of Otolaryngology, Head and Neck Surgery, Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin 2, Ireland
Paula Casserly*
ENT Consultant, Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin 2, Ireland

Abstract

Acute dizziness/vertigo is among the most common causes for visiting the emergency department or primary care physician. Although the majority of these presentations represent an acute peripheral vestibulopathy (APV), lateral medullary, lateral pontine, and inferior cerebellar infarctions can mimic APV very closely. We present an atypical presentation of an aggressive APV and outline how a well-constructed bedside neurotologic evaluation can distinguish central from peripheral vertigo in the acute setting.

Article Details

Thong, G., & Casserly, P. (2019). A Case of Acute Peripheral Vertigo: Using the HINTS Exam to guide diagnostic workup. Archives of Case Reports, 3(1), 001–004. https://doi.org/10.29328/journal.acr.1001011
Case Reports

Copyright (c) 2019 Thong G, et al.

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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