Central Vestibular Disorders and HINTS Testing

presented by Jeff Walter, DPT, NCS

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Disclosure Statement:

Financial: Jeff Walter receives compensation from MedBridge for this course and Education Resources, Inc. There is no financial interest beyond the production of this course.

Nonfinancial: Jeff Walter has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 54 Minutes; Learning Assessment Time: 32 Minutes

The course will review the features of central nervous system disorders that may present with vestibular-related issues. Content will include a detailed discussion of vertebrobasilar insufficiency, cerebellar-origin dizziness (including Chiari malformation), multiple sclerosis, and white matter disease. To enhance the clinician's ability to recognize concerning examination findings, a series of video-based examples of CNS-origin ocular impairments will be reviewed. Indications, application, and interpretation of bedside HINTS will be reviewed to increase recognition of potentially sinister causes of vestibular symptoms. Video examples of the components of HINTS testing will be shared. The course is appropriate for audiologists and occupational/physical therapists and assistants.

Meet Your Instructor

Jeff Walter, DPT, NCS

Jeff Walter, DPT, NCS, is the director of the Otolaryngology Vestibular and Balance Center at Geisinger Medical Center in Danville, Pennsylvania. His clinical practice focuses on vestibular diagnostic testing and vestibular rehabilitation. He is an adjunct faculty member at Misericordia University's Department of Physical Therapy and a graduate of the University of Wisconsin with a…

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1. Central Vestibular Disorders

Content will include features of central nervous system (CNS) disorders that may present with vestibular-related issues. Recognition of concerning causes of vestibular symptoms and indications for further medical management is important for clinicians involved in vestibular testing and rehabilitation.

2. Traits of Central-Origin Oculomotor Findings

To enhance the clinician’s ability to recognize concerning examination findings, a series of video-based examples of CNS-origin ocular impairments will be reviewed. Common abnormalities noted with MS, stroke, cerebellar disorders, and parkinsonism-like disorders will be demonstrated. Recognition of red flags is important in alerting clinicians to a potentially more concerning cause of vestibular symptoms.

3. HINTS Testing

HINTS testing, which can be helpful in identifying a potentially sinister cause of symptoms in subjects with acute and ongoing vertigo, will be reviewed. The components of HINTS testing will be demonstrated, and video case examples will be presented.

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