J Neuroophthalmol 2018 06;38(2):244-250
Department of Ophthalmology and Visual Sciences (NHK), Department of Ophthalmology and Visual Sciences (GPVS), and Department of Neurology (GPVS), Washington University School of Medicine, St. Louis, Missouri; and Departments of Neurology (DRG), Ophthalmology, Neurosurgery, and Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.
The acute vestibular syndrome (AVS) is characterized by the rapid onset of vertigo, nausea/vomiting, nystagmus, unsteady gait, and head motion intolerance lasting more than 24 hours. We present 4 patients with AVS to illustrate the pearls and pitfalls of the Head Impulse, Nystagmus, Test of Skew (HINTS) examination.