Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.

23Aug/11Off

Vertigo

  • This chief complaint mandates testing of limb, truncal ataxia, and extraocular movements.
    • "Watch 'em walk, watch 'em talk, look at their eyes!"
  • Corrective saccades during a head-impulse test implies peripheral vestibular pathology. Absence of corrective saccades should make you concerned for cerebellar/posterior circulatory pathology.
    • Remember, the vestibulo-ocular reflex does not involve the cerebellum.
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