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HINTS to Diagnose Stroke in the Acute Vestibular Syndrome
Stroke · 2009 · Vol. 40(11) · pp. 3504–3510
Jorge C. Kattah✉(Johns Hopkins University)Arun Talkad(Johns Hopkins University)David Z. Wang(Johns Hopkins University)Yu‐Hsiang Hsieh(Johns Hopkins University)David E. Newman‐Toker(Johns Hopkins University)
Abstract
Skew predicts brainstem involvement in AVS and can identify stroke when an abnormal horizontal head impulse test falsely suggests a peripheral lesion. A 3-step bedside oculomotor examination (HINTS: Head-Impulse-Nystagmus-Test-of-Skew) appears more sensitive for stroke than early MRI in AVS.
Vestibular and auditory disordersCerebral Venous Sinus ThrombosisOphthalmology and Eye DisordersMedicineNystagmusVertigoStroke (engine)Prospective cohort studyVestibular systemBrainstemRadiologyCardiologySurgery
MeSH terms
Acute DiseaseAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedNauseaNystagmus, PathologicProspective StudiesReflex, Vestibulo-OcularSyndromeTime Factors
Citations
1,100
FWCI
16.20
field-weighted impact
References
27
Percentile
99%
vs. same field & year
Citations per year
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References
A Clinical Sign of Canal Paresis
Archives of Neurology · 1988 · 1,278 citations
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