Key points of clinical examination of vertigo/dizziness
I. Examination of eye movements
1. Nystagmus – the first examination needed Yingchun Wu, Department of Neurology, Erdos Central Hospital
(1) Direct-vision nystagmus (spontaneous nystagmus)
Note the direction of nystagmus: horizontal, vertical, torsion (rotation) or mixed
(2) Gaze-induced nystagmus
(3) Vergence movement
2.Tracking movements
3. Sweeping movements
Vestibular and oculomotor examinations
(1) Head tossing test
(2) Doll test (head-turning test)
(3) Fundus examination
(4) Dynamic visual acuity test
(5) VOR suppression test abnormalities
III. Positional test
IV. Frenzel ophthalmoscopy
V. Posture and gait
Hearing assessment
VII. Uprightness blood pressure test
Eight, laboratory tests
(1) Pure tone audiogram
(2) Hot and cold test
(3) Rotation test
(4) Nystagmography, electrooculography, video nystagmography, video electrooculography