Clinical diagnosis of benign paroxysmal positional vertigo and vestibular neuritis With a typical clinical presentation, patients with BPPV can be diagnosed when the characteristic nystagmus on positional test-ing is seen. Patients with vestibular neuritis can be differentiated from those with cerebellar stroke with the HINTS plus examina-tion. By reliably diagnosing patients with vertigo using history, physical and appropriately targeted bedside examination tech-niques, patients can often avoid unnecessary imaging.
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