HINTS for Stroke in Acute Vestibular Syndrome
Central pattern if normal head impulse, direction-changing nystagmus, or skew; peripheral if abnormal impulse without central nystagmus/skew.
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How it works
HINTS outperforms early MRI for posterior circulation stroke in acute vestibular syndrome when applied by trained clinicians.
Limits
Requires skilled bedside examination; new focal neurologic signs mandate imaging regardless.
Educational tool only—not for diagnosis or treatment decisions.