Table 1 Interpretation of the HINTS exam

Head Impulse Test (HIT)

Loss of eye fixation with head impulse; “positive” or “abnormal”

Intact vestibulo-ocular reflex; “negative” or “normal”

Nystagmus (N)

None or horizontal unidirectional

Vertical, rotatory, or horizontal bidirectional

Test of Skew (TS)

No skew; “negative”

Skew; “positive”