neurology emergency
HINTS Exam for Stroke vs Vestibular Neuritis
Head Impulse, Nystagmus, Test of Skew (HINTS). 3-step bedside eye examination to differentiate posterior fossa stroke from peripheral vestibular disorder in acute vestibular syndrome. More sensitive than early MRI.
References
- 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. 2009;40(11):3504–3510.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Cinnarizine · Vestibular Suppressant — Vertigo
- Aspirin (Loading Dose) · Antiplatelet — ACS / Ischaemic Stroke
- Alteplase (tPA) · Thrombolytic — Ischaemic Stroke / Massive PE
- Betahistine · Histamine Analogue (Vestibular)
- Betahistine dihydrochloride · Histamine analogue (vestibular)
- Betahistine · Histamine Analogue — Vestibular
Pathways
- Acute Stroke / TIA Assessment · NICE NG128; RCP Stroke Guidelines 2023
- Status Epilepticus (Adults) · NICE CG137; ESEM guidelines; RCP Neurology Guidelines
- Acute Stroke Management · NICE NG128 / RCP 2023
- TIA Assessment (ABCD2) · NICE NG128 / NICE CG68
- Bacterial Meningitis (Adults) · NICE CG102 / BIA 2016
- Parkinson's Disease Management · NICE NG71 2017
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.