@KenV54@angpeacock1111 Open evidence has epic fail also. "If nystagmus is direction-changing, purely vertical, or accompanied by other brainstem signs, the HINTS examination can help differentiate peripheral from central causes of acute vestibular syndrome.."
@The_IMJ@TheRACP@WileyHealth Useless study. If you use HINTS to try to identify strokes in a retrospective study in all patients presenting with persistent vertigo, these are exactly the terrible results you will find. First screen for central features, then HINTS only if nystagmus present.
@FredLepore Still remember being taught about that drug in overdose situation in the late 80's but never saw a case. Wild read about it in wikipedia. https://t.co/lAgDqHmuz8
@vitaneuro Important things not clearly brought out in the paper: 1. Seeing clinical features that can occur in stroke but not expected to be seen in vestibular neuritis makes HINTS irrelevant. Work up for stroke. 2. Only perform HINTS when patient has nystagmus at rest.
@i_ampriyanyk I'm glad you're on the mend. The fact that you had to have an MRI and a referral to an ENT before you got the right diagnosis and treatment is an epic fail for your neurologist. Even if you ask chat GPT it will tell you the most common cause of vertigo in MS patients is BPPV.
@muksrockon Dizziness/vertigo is one of the few conditions that it's routine for doctors to make a joke about how little they know about it and how much they dislike it. It's trying to normalize the general state of ignorance about it. We need huge shift in our attitude about dizziness.
@drterrynguyen There isn't one aspect of dizziness/vertigo that front line clinicians do well. But this is the one we should all know about. Decade of misinformation has made this difficult. Here is the way. https://t.co/qVEZiTvlmH
@AdamMihara@SpikeEskin Nothing to do with a pinched nerve. It's crystals (otoconia) becoming displaced from utricle, ending up in one of the semi-circular canal, most commonly the posterior one.
Check out my new video of how the nystagmus of vestibular neuritis changes with time, and one way you can avoid missing subtle nystagmus. https://t.co/qFXQOHPJ5M
@nirmalregency 3PV, so it can be confused with 3PD? (vs BPPV and PPPV, also confusing). Why not think outside the box and call it ODD? (Otoconia Displacement Disease)? Shorter, easier to say the acronym and the long version. and describes the pathology.