Mukul Ramakrishnan, a resident physician at NYU Bellevue, shares vital insights into posterior circulation strokes. He discusses the nuances of diagnosis, emphasizing the common symptoms that can lead to missed cases. The importance of awareness around risk factors is highlighted, alongside the challenges of identifying these strokes, especially in younger patients. Mukul also explains the HINTS exam, detailing its effectiveness in stroke evaluation and the distinction between peripheral and central nystagmus, enhancing clinical practice in emergency medicine.
See Dr. Newman-Toker demonstrate the HINTS exam here
Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke. 2009 Nov;40(11):3504-10