Head impulse (thrust)Peripheral · treat

Head impulse — catch-up saccade

Abnormal VOR — reassuringly peripheral in continuous vertigo.

Head impulse (thrust)Live

On a rapid head thrust the eyes are dragged off the target, then a corrective (catch-up) saccade brings them back. In acute vestibular syndrome this ABNORMAL result points to a peripheral cause (neuritis), not central.

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.