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  • Update on HINTS Plus, With Discussion of Pitfalls and Pearls
    The HINTS Plus examination is useful when applied to the correct clinical scenario The most common misclassification of vertigo relates to an inability to detect spontaneous nystagmus suppressed by visual fixation and subsequent classification and treatment for positional vertigo
  • Are the HINTS and HINTS Plus Examinations Accurate for . . .
    The meta-analysis comprised 16 studies, including 14 prospective and 2 retrospective studies that evaluated 2,024 patients, of which 569 (28 1%) had a central cause of acute vestibular syndrome Among the selected studies, a neurologist most frequently performed the HINTS examination (7 16), followed by a neuro-otologist (3 16), and an emergency physician (2 16) The ED was the most common
  • EMCrit Blog - Emergency Department Critical Care Resuscitation
    We would like to show you a description here but the site won’t allow us
  • めまい診療(末梢性めまいか中枢性めまいかの鑑別、HINTS)
    HINTS plus ・HINTSに 「新規片側性難聴」 (蝸牛症状:「指こすり」による難聴の確認、耳閉、耳鳴りがある) を加えたもの ・「指こすり」による難聴の確認、耳閉、耳鳴りの有無 ・ 「新規片側性難聴」があれば中枢性梗塞が否定できない(AICA梗塞)
  • Bedside Testing in Acute Vestibular Syndrome—Evaluating HINTS . . .
    Both HINTS and HINTS plus (HINTS plus new hearing loss detected by finger rubbing or similar) demonstrate a higher diagnostic accuracy for ruling out stroke than MRI including DWI Reused with permission from John Wiley and Sons Abbreviations: hHIT = horizontal head-impulse test 4 Future Directions
  • Moving from H. I. N. T. S. to H. I. N. T. S. PLUS in the Management . . .
    In 2013, H I N T S PLUS hearing loss due to cochlear or brainstem ischemia was introduced as a new sign that could increase diagnostic accuracy of AVS 5 As suggested by some authors, we recommend using the H I N T S PLUS instead of the H I N T S in the management of AVS in order not to miss a labyrinthine infarction
  • Use of HINTS in the acute vestibular syndrome. An Overview
    HINTS PLUS In 2013, HINTS PLUS hearing loss due to cochlear or brainstem ischaemia was introduced as a new sign that could potentially increase diagnostic accuracy 15 19 The vascular supply to the inner ear, the fourth-nerve complex (cochlear, superior and inferior vestibular and facial nerves) in the cerebellopontine angle, the cochlear
  • HINTS Exam - Physiopedia
    A 2009 cross-sectional study found the HINTS exam was 100% sensitive and 96% specific for a cerebral vascular accident 17% of patients presented with a skew deviation and was found to be associated with brainstem lesions As this exam takes 1-2 minutes at bedside, this article highly recommends practitioners in the emergency department and


















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