Neuro-otology & vertigo
Released 27 Oct 2025
Central vertigo (HiNTs+) & Dix-Hallpike/related examinations (theory) with pearls & pitfalls
We’ve got another surprise installed for you today… the first episode in the neuro-otology and vertigo series! (Again as an overlap with our ongoing clinical method series). This episode focuses on the HiNTs+ examination in distinguishing central from peripheral causes of an acute vestibular syndrome, in particular distinguishing a posterior circulation stroke (of the brainstem or the cerebellum and its connections) from vestibular neuritis. The episode then changes tack to discuss the Dix-Hallpike examination and then the horizontal head roll (log roll) tests to diagnose posterior canal and geotropic/ageotropic horizontal canal BPPV (benign paroxysmal positional vertigo), respectively, and it also discusses the Epley manoeuvre and barbeque roll (BBQ roll; Lampert roll) manoeuvre in the treatment of posterior canal and horizontal canal BPPV, respectively. As always, the episode is packed to the brim with helpful tips and tricks to help you perform these examinations and techniques optimally and efficiently, along with suggestions to help remember them! This episode is appropriate for medical students, junior doctors, physician and neurology trainees, neurologists, cardiologists/ general practitioners (family doctors)/emergency and intensive care physicians and their respective trainees, and any other health professional assessing patients presenting with dizziness (who may ultimately have a neurologic, cardiac or another cause for this presenting symptom).
https://open.spotify.com/episode/5GY7RT25IQZslnNDyAS026?si=z4jhNdNuS529zUwEokM3YA
Released 30 Oct 2025
Clinical approach to the dizzy patient, & vertigo causes & overview of management
The second episode in the neuro-otology and vertigo series takes a step back to review the clinical approach to the patient presenting with the notoriously misinterpreted symptom of ‘dizziness’, before reviewing the best way to classify common causes of vertigo into either acute persistent vertigo vs. episodic vertigo (which can in turn be triggered vs. non-triggered). It then discusses the diagnosis and management of vestibular neuritis, benign paroxysmal positional vertigo (BPPV, especially the posterior and geotropic/ageotropic horizontal canal variants), Meniere’s disease and migraine with vestibular features, before turning to a discussion of less commonly encountered causes of vertigo so as to provide an exhaustive list of the potential causes of vertigo, so that when you encounter them in clinical practice you are not then hearing about them for the first time. As always, the episode is packed to the rafters with useful tips, tricks and personal and practical insights so as to contextualise the content, in an attempt to aid structured understanding and memorisation. This episode is appropriate for medical students, junior doctors, physician and neurology trainees, neurologists, cardiologists/ general practitioners (family doctors)/emergency and intensive care physicians and their respective trainees, and any other health professional assessing patients presenting with dizziness (who may ultimately have a neurologic, cardiac or another cause for this presenting symptom).
https://open.spotify.com/episode/6PXmgffRTlydhr9cCD9xgs?si=5b4U_wGhS9aSd5ymyuyDjA
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