2019 年 78 巻 2 号 p. 83-86
Dizziness and vertigo are symptoms that are often encountered in general practice and emergency medical care. However, in Acute vestibular disorder, which manifests as severe and long-term vertigo, nausea, vomiting, spontaneous nystagmus and postural instability, it is often difficult to judge whether it is a central disorder or a peripheral disorder. In the clinical situation, it is often difficult to make such a decision due to the limitations of diagnostic instrumentation and time. In this paper, I will introduce the HINTS plus, which is useful for distinguishing between central and peripheral disorders in acute vestibular syndrome, and can be performed conveniently at the bedside.