#24: The ONE Neuro Test That Outshines MRIs and CTs in Brainstem Stroke: The HINTS Exam

Get the HINTS EXAM Handout Here! The most common causes of ACUTE VESTIBULAR SYNDROME are vestibular neuritis (often called labyrinthitis) and ischemic stroke in the brainstem or cerebellum. Vertebrobasilar ischemic stroke may closely mimic peripheral vestibular disorders, with obvious focal neurologic signs absent in more than half of people presenting with AVS due to stroke.Computed tomography (CT) has >>>poor sensitivity in acute stroke<<<<, and diffusion-weighted magnetic resonance imaging (MRI) misses up to one in five strokes in the posterior fossa in the first 24–48 hours.We'll discuss:A very interesting patient case where I used the HINTS Exam and I was able to differentially diagnose the patient with LEFT medullary strokeThe importance of performing HINTS ExamThe part of the HINTS Exam and How-To-DoWhat should you expect as a result for a POSITIVE HINTS Exam?Here are the articles if you want to read more!https://pmc.ncbi.nlm.nih.gov/articles/PMC6312070/pdf/svn-2018-000160.pdfhttps://www.stroke.org/-/media/data-import/downloadables/f/4/e/acute-dizziness-ucm_497693.pdfhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3114934/pdf/183e571.pdfSUBSCRIBE AND REVIEW!If you’re enjoying the podcast, please consider subscribing and leaving a 5-star rating on Spotify or a review on Apple Podcasts. Your support helps me reach more physical therapists who love neuro and want to grow their expertise!Follow The Brain PT!instagram.com/the_brain_ptthebrainpt.comyoutube.com/@thebrainptRegister to one of my courses! www.thebrainpt.com/courses