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HINTS to Diagnose Stroke in the Acute Vestibular Syndrome: Three-Step Bedside Oculomotor Examination More Sensitive Than Early MRI Diffusion-Weighted Imaging
Stroke 40:3504-3510, Kattah,J.,et al, 2009
See this aricle in Pubmed

Article 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.
 
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brainstem,infarction of
cerebellar infarction
cerebrovascular accident
labyrinthitis
labyrinthitis,acute
misdiagnosis
MRI,diffusion weighted
MRI,false negative
neurologic disease,diagnoses of
nystagmus
nystagmus,direction changing
ocular motility,disorders of
positional head-hanging test
skew deviation
vestibular neuritis

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