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Neurology

Tick Paralysis

  Tick paralysis can occur worldwide and is associated with over 40 different species of tick. Tick paralysis occurs when an egg-laden female tick produces a neurotoxin and transmits it to its host during feeding.  Unlike other tick born diseases suck as Lyme disease, ehrlichiosis, and babesiosis which are caused …

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the HINTS exam

  The HINTS exam is a three-part, rapid beside oculomotor test used to help differentiate central from peripheral vertigo. HINTS stands for Head Impulse, Nystagmus and Test of Skew. The test consists of three parts: 1 – Patients with peripheral vertigo will have abnormal (positive) head impulse testing, while patients …

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The Room Keeps Spinning

  Benign Paroxysmal Positional Vertigo (BPPV) is the most common of vestibular disorders and the most easily treated. In most patients, it can be cured with a simple maneuver. BPPV occurs when calcium crystals called otoconia become dislodged from their normal location on the utricle of the inner ear. It …

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