Emergency Medicine · Neurology
HINTS for Stroke in Acute Vestibular Syndrome calculator
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HINTS peripheral pattern
Band: HINTS peripheral pattern
Interpretation. HINTS peripheral pattern
Suggested management. No dangerous HINTS signs; pattern more consistent with peripheral vestibulopathy in AVS.
HINTS for Stroke in Acute Vestibular Syndrome: 0 — HINTS peripheral pattern. Interpretation: HINTS peripheral pattern What to do: No dangerous HINTS signs; pattern more consistent with peripheral vestibulopathy in AVS. Inputs: Head-Impulse normal (dangerous) (+1): false; Direction-changing nystagmus (dangerous) (+1): false; Skew deviation (dangerous) (+1): false Source: Kattah JC et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke. DOI: 10.1161/STROKEAHA.109.551234. PMID: 19762709. Scope: dangerous HINTS = any of Head-Impulse normal, Nystagmus that is direction-changing/bidirectional, or Test-of-Skew skew deviation; any dangerous finding suggests central cause. (2009)
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Clinical inputs
- Head-Impulse normal (dangerous) (+1)
- Direction-changing nystagmus (dangerous) (+1)
- Skew deviation (dangerous) (+1)
Primary source
Kattah JC et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke. DOI: 10.1161/STROKEAHA.109.551234. PMID: 19762709. Scope: dangerous HINTS = any of Head-Impulse normal, Nystagmus that is direction-changing/bidirectional, or Test-of-Skew skew deviation; any dangerous finding suggests central cause. (2009)
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