#24: The ONE Neuro Test That Outshines MRIs and CTs in Brainstem Stroke: The HINTS Exam

The most common causes of ACUTE VESTIBULAR SYNDROME are vestibular neuritis (often called labyrinthitis) and ischemic stroke in the brainstem or cerebellum. Vertebrobasilar ischemic stroke may closely mimic peripheral vestibular disorders, with obvious focal neurologic signs absent in more than half of people presenting with AVS due to stroke.

Computed tomography (CT) has >>>poor sensitivity in acute stroke<<<<, and diffusion-weighted magnetic resonance imaging (MRI) misses up to one in five strokes in the posterior fossa in the first 24–48 hours.

We'll discuss:

A very interesting patient case where I used the HINTS Exam and I was able to differentially diagnose the patient with LEFT medullary stroke
The importance of performing HINTS Exam
The part of the HINTS Exam and How-To-Do
What should you expect as a result for a POSITIVE HINTS Exam?

Here are the articles if you want to read more!

https://pmc.ncbi.nlm.nih.gov/articles/PMC6312070/pdf/svn-2018-000160.pdf

https://www.stroke.org/-/media/data-import/downloadables/f/4/e/acute-dizziness-ucm_497693.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC3114934/pdf/183e571.pdf

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Published on 6 months, 1 week ago

Podcast Episode Details

#24: The ONE Neuro Test That Outshines MRIs and CTs in Brainstem Stroke: The HINTS Exam