ReviewStroke and vascular neurology2018
Use of HINTS in the acute vestibular syndrome. An Overview.
Review in Stroke and vascular neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.
- Early vestibular rehabilitation training of peripheral acute vestibular syndrome-a systematic review and meta-analysis.Frontiers in neurology · 2024Pooled it
- Pooled it
- Differentiating Persistent Postural-Perceptual Dizziness from Anxiety Disorder Using Behavioral Responses to Complex Visual Environments.Journal of clinical medicine · 2026Article
- Bedside Approach to Acute Vertigo with Spontaneous Horizontal Nystagmus: The Role of Simultaneous Ice-Water Test Stimulation and Its Correlation with the HINTS Protocol in Differentiating Peripheral and Central Etiologies.Audiology research · 2026Article
- Acute vertigo: stroke or not?Current opinion in neurology · 2026Review
- Obstructive Sleep Apnea as a Hidden Cause of Dizziness: A Report of Two Non-obese Patients.Cureus · 2025Article
- The International Classification of Vestibular Disorders: Achievements, challenges, and future directions.Journal of vestibular research : equilibrium & orientation · 2025Review
- Audiometry as a predictive proxy for balance dysfunction.Scientific reports · 2025Article
- Acute vestibular syndrome induced by supratentorial stroke: clinical features and network compensation mechanisms.Frontiers in neurology · 2025Article
- Improving the Diagnostic Workup of Vertigo: A Multidisciplinary Review.Spartan medical research journal · 2025Review
- Performing the HINTS-exam using a mixed-reality head-mounted display in patients with acute vestibular syndrome: a feasibility study.Frontiers in neurology · 2025Article
- Determination of Recovery by Total Restitution or Compensation Using Multifrequency Vestibular Tests and Subjective Functional Scales in a Human Model of Vestibular Neuritis.Audiology research · 2024Article
- Application of a Video Head Impulse Test in the Diagnosis of Vestibular Neuritis.Life (Basel, Switzerland) · 2024Review
- Central paroxysmal positional nystagmus mimicking posterior canal benign paroxysmal positional vertigo in pontine infarction: a case report and literature review.Journal of neurology · 2024Review
- Cerebellar Cavernous Angioma With Symptomatic Hemorrhage Mimicking Different Sequential Peripheral Vestibular Disorders.Journal of clinical neurology (Seoul, Korea) · 2024Article
- The acute vestibular syndrome: prevalence of new hearing loss and its diagnostic value.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Article
- Quantifying Induced Nystagmus Using a Smartphone Eye Tracking Application (EyePhone).Journal of the American Heart Association · 2024Article
- Do monosymptomatic stroke patients with dizziness present a vestibular syndrome without nystagmus? An underestimated entity.European journal of neurology · 2024Article
- Video head impulse test in stroke: a review of published studies.Frontiers in neurology · 2024Review
- Feasibility of video-based real-time nystagmus tracking: a lightweight deep learning model approach using ocular object segmentation.Frontiers in neurology · 2024Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Following the initial description of HINTS to diagnose acute vestibular syndrome (AVS) in 2009, there has been significant interest in the systematic evaluation of HINTs to diagnose stroke and other less common central causes of AVS. This trend increased with availability of the video head impulse test (video-HIT). This article reviews the original papers and discusses the main publications from 2009 to 2017. Many authors use video-HIT in the diagnosis of patients with AVS; this paper focuses on the major publications on the topic featuring nystagmus, manual and video-HIT, and skew deviation. Twenty-five papers provide a summary of the last 8 years' application of HINTS, the video-HIT added quantitative information to the early clinical observations. Further research will undoubtedly provide specific combination of abnormalities with high degree of lesion localisation and aetiology. In a short time following the original description, neurotologist and neurologists in the evaluation of AVS use the HINTS triad. The introduction of the video-HIT added greater understanding of the complex interaction between the primary vestibular afferents, brainstem and cerebellum. In addition, it permits evaluation of the angular vestibulo-ocular reflex in the plane of all six semicircular canals, with accurate peripheral versus central lesion localisation often corroborated by brain imaging.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.