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head impulse

Indications: - evaluation of acute, persistent vertigo Procedure: - patient focuses on examiner - examiner slowly moves head in either direction about 20 degrees - examiner then rotates head rapidly back to midline - patient is observed for 'catch-up' saccades Interpretation: - 'catch-up' saccades consistent with peripheral vertigo - absence of 'catch-up' saccades consistent with central vertigo

General

maneuver

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 18, American College of Physicians, Philadelphia 2018

Component-of

head impulse, nystagmus & test of skew (HINTS)