Clinical cases

Eight hand-authored cases. Each presents a vignette and the HINTS findings, asks one single-best-answer question, and walks through why each option is right or wrong.

Work through the cases in any order. Each case ends with a teaching point and links to the underlying references. Completion is recorded locally in your browser — nothing leaves the device.

LEVEL
  1. FoundationVestibular neuritis

    Acute persistent vertigo, no risk factors

    32-year-old, no vascular risk factors. Preceding viral URTI one week earlier.

  2. TraineeCerebellar stroke

    Isolated vertigo with normal head impulse

    68-year-old man, hypertensive, type 2 diabetes, current smoker.

  3. TraineePICA territory / Wallenberg

    Vertigo with crossed sensory findings

    59-year-old woman, hypertension, AF on apixaban.

  4. ClinicianAICA territory / HINTS-plus

    Acute vertigo with new unilateral deafness

    61-year-old man, hypertension, smoker.

  5. FoundationVestibular migraine

    Recurrent vertigo with photophobia

    28-year-old woman, longstanding migraine without aura.

  6. ClinicianBrainstem demyelination

    Vertigo in a young patient with diplopia

    26-year-old woman, previous optic neuritis 2 years ago.

  7. ClinicianInferior vestibular neuritis

    Vertigo with normal horizontal head impulse

    45-year-old man, recent flu-like illness.

  8. TraineeNon-stroke central mimic

    Vertigo, ataxia, downbeat nystagmus

    72-year-old woman, multiple medications, recent dose increase.