Aster Medical Journal (AMJ)

Cerebellar stroke presenting with positive head impulse test and centripetal nystagmus

1 Aster Specialty clinic, Department of Neurology, International city, Dubai, UAE

2 Medinova Diagnostic center, Department of Radiology, Dubai, UAEC

Cerebellar strokes are one of the sinister causes of ‘acute vestibular syndrome’(AVS). In an emergency setting, it is crucial to differentiate between central and peripheral causes of AVS. The head impulse, nystagmus, and test of skew (HINTS) protocol helps in differentiating between the two. Stroke at some specific locations can present with a positive head impulse test (HIT), and signs such as gaze-evoked nystagmus (with fixation) or skew deviation can

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