HINTS to Diagnose Stroke in the Acute Vestibular Syndrome

20091,103 citationsJournal Articlebronze Open Access

Authors

Jorge C. Kattah · 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.

Topics & Keywords

Vestibular and auditory disorders Cerebral Venous Sinus Thrombosis Ophthalmology and Eye Disorders

UN Sustainable Development Goals

Good health and well-being

Publication Details

Published in: Stroke

Volume 40, Issue 11, pp. 3504-3510

DOI: 10.1161/strokeaha.109.551234

Field-Weighted Citation Impact: 16.21