EBQ:HINTS Exam: Difference between revisions
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| fulltexturl= http://stroke.ahajournals.org/content/40/11/3504.long | | fulltexturl= http://stroke.ahajournals.org/content/40/11/3504.long | ||
| pdfurl=http://stroke.ahajournals.org/content/40/11/3504.full.pdf | | pdfurl=http://stroke.ahajournals.org/content/40/11/3504.full.pdf | ||
| status = Under Review | |||
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Revision as of 03:28, 5 January 2014
Under Review Journal Club Article
Kattah, J. et al. "HINTS to Diagnose Stroke in the Acute Vestibular Syndrome: Three-Step Bedside Oculomotor Examination More Sensitive Than Early MRI Diffusion-Weighted Imaging". Stroke. 2009. 40(11):3504–3510.
PubMed Full text PDF
PubMed Full text PDF
Clinical Question
Is the HINTS exam (Head-Impulse—Nystagmus—Test-of-Skew) more sensitive for diagnosing stroke than early MRI diffusion-weighted imaging in Acute Vestibular Syndrome?
Conclusion
A negative HINTS examination can rule out a stroke better than a negative MRI with DWI in the first 24 to 48 hours after symptom onset with a specificity of 96%.