Welcome to my new subscribers, including those who found me in the past week from my coronavirus video! If you are hoping for more coronavirus news, I'll be posting a follow-up video in a few days.
StrongMed
I've never had such a good understanding about vertigo than after seeing this video. Thank you, kind sir !
Apolloneus
I love how you structured this! Great lecture!
violetabedranrocha
I keep coming back to your videos, they are amazing
serseriherif
These videos are very helpful Doctor. Bless you for the time and effort you put in. Greetings from Mauritius
PointOne
Thank you so much for all your videos, but specifically these approach to videos, yours are one of the only few places we can find actual practical approach, it seems everyone just assume we will learn it in the hospital, yet I mostly feel clueless when am there because theory is very different from what is done in practice.
nusaibahibraheem
Now this is some top tier quality material!!!!
lifeisgood
Best video ever! Thank you Dr. Strong!!
leonidkaradzinov
Good video !
A few comments
- the notion that a clinician reliably can distinguish between lightheadedness (presyncope), vertigo and unbalance has largely been put into doubt by Kerber et al and Newman-toker, and edlow. One may be more probable than the other, but one should be vary to rely to much on this part, as there is a big overlap . More important is the focus on triggers and timing (TITRATE or ATTEST method )
- The section on (true) vertigo could possibly become even better if it was put into the categories suggested by Edlow and others : tEVS, sEVS and AVS
- I would emphasize to do the nystagmus test of the HINTS first . If you do not se nystagmus, you’re done and cannot move in in the HINTS as it should only be carried out on AVS patients with spontaneous / gaze evoked nystagmus . Otherwise the HIT will be always false-negative (indicating central cause)
Tagmose
Another great video! Very helpful diagnostic algorithm. Thank you!
nhbmk
Thank you Doctor Strong and Merry Christmas. I will watch again about HINTS exam, strange that I never learned this on those years, never heard, .
sunving
Thanks! Excellent demonstration of HINTS exam!
lexandliv
thanks Doctor Strong, It is very informative lecture. I learn new thing that i never heard of HINT exam so cool.
sunving
thank you so much for this clear and straight forward explanation!
eugenias
You are just so amazing. Can't thank you enough.
tamemomar
I have a couple questions as a follow-up to this extremely informative video:
1) will central vertigo ever be episodic, or or if it comes and goes can I be pretty certain it's peripheral?
2) do you have a concise description for an abnormal dix Hall pike? (Does any nystagmus indicate a positive test, or do different directions mean differing things?)
3) With a NORMAL dix Hall pike but episodic vertigo and normal neuro exam, would this suggest non-BPPV peripheral vertigo?
Thanks!!
ellenbaker
Great work as always, incredible teaching
BJPdarkhistoryINDIA
Another great video! I have great difficulty in distinguishing vertigo from lightheadedness in my patients- I usually ask them what they were doing when the sensation came along and can usually rule out vasovagal syncope, orthostatic syncope and situational syncope. But I'm always worried about a cardiogenic syncope in patients complaining of dizziness coming on spontaneously and find it very hard to not order further cardiac work up. Any tips?
rohankapur
UNO DE LOS MEJORES VIDEOS DE VERTIGO MUY COMPLETO, GRACIAS DR STRONG
tich
OK, so at a former job, I used to spend hours with my head positioned diagonally, being that I'm tall and have a long neck. The chair was not adjusted to my height. Often I would get dizzy and have a hard time keeping my balance once I left the office and during the break. Perhaps using earphones and taking collagen worsened it. I tried the Epley and Hallpike technique and it seemed to work somewhat.
