Gaze holdingCentral · refer

Direction-changing (gaze-evoked)

The fast phase reverses with gaze — central until proven otherwise.

Gaze holdingLive

As the eyes move, the fast phase changes direction (right-beating on right gaze, left-beating on left gaze). In acute continuous vertigo this is a central sign — part of the dangerous HINTS pattern.

Source: HINTS exam (Kattah 2009).

Practice this in the trainerPlay today’s case

Other signs

Up-beating torsional

Dix-Hallpike

Horizontal direction-changing

Supine roll test

Horizontal apogeotropic

Supine roll test

Stylised teaching animations authored by NeuroDash. Not real-patient recordings, not board-certified, and not reviewed by an outside specialist. Educational only — not medical advice or a diagnosis.