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Episode 290 – Neurology VMR – Vertigo

The Clinical Problem Solvers

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How to Distinguish Between Vestibular Neuritis and Posterior Circulation Stroke

Vestibular neuritis and posterior circulation stroke. How do we distinguish between them shame estan steps ahead of us don't look at the teaching promise Do you know a little bit about how we might distinguish these on the physical exam I should also say head trauma and intoxication or in that differential but those are usually clear. The midline cerebellum the vermis is more concerned with the middle of the body so that's easy to remember and that means sort of the trunk. If it was like the lateral side then it more affects the extremities where you would see like a limp ataxia and also kind of like movement problems and like weakness and tremors which this patient doesn't

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