Primary gaze / positionalTest

No nystagmus

The reassuring baseline — know what quiet looks like.

Primary gaze / positionalLive

The eyes sit still with no beating at rest, in gaze, or after a positional maneuver. A negative exam is still informative: it rules BPPV in or out on repeat testing, and a truly silent exam in a patient who is symptomatic right now should prompt a closer look at the other two HINTS signs rather than a reflexive 'normal'.

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.