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Clinical Diagnosis of Benign Paroxysmal Positional Vertigo and Vestibular Neuritis

Author/s: 
Johns, Peter, Quinn, James

• Assess patients with vertigo for focal neurologic signs and symptoms, sustained substantial headache or neck pain, inability to stand and spontaneous vertical nystagmus.

• Perform the Dix–Hallpike test only for patients with episodes of vertigo less than 2 minutes and no nystagmus at rest.

• Perform the head impulse, nystagmus and test of skew (HINTS) plus (plus refers to a test of recent hearing loss) examination only for patients with hours or days of constant, ongoing vertigo and nystagmus at rest.

Keywords 
benign paroxysmal positional vertigo vertigo vestibular neuritis

Clinical diagnosis of benign paroxysmal positional vertigo and vestibular neuritis

Author/s: 
Johns, P, Quinn, J

KEY POINTS

• Assess patients with vertigo for focal neurologic signs and symptoms, sustained substantial headache or neck pain, inability to stand and spontaneous vertical nystagmus.

• Perform the Dix–Hallpike test only for patients with episodes of vertigo less than 2 minutes and no nystagmus at rest.

• Perform the head impulse, nystagmus and test of skew (HINTS) plus (plus refers to a test of recent hearing loss) examination only for patients with hours or days of constant, ongoing vertigo and nystagmus at rest

Keywords 
vertigo benign paroxysmal positional vertigo vestibular neuritis
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