Tag: meningeal irritation

Clinical Tests

Brudziński’s neck sign

Purpose of Brudziński’s neck sign: To determine if the patient has inflammation of the meninges (meningitis) (1). Patient position: Lying supine. Examiner position: Standing beside the bed, facing the patient. Procedure: With the patient lying supine, place your hands behind the patient’s head and flex the head towards the chest. Outcome:  This is a sign of meningeal irritation. If meningeal irritation is present, this manoeuvre … Continue reading Brudziński’s neck sign

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Back, Clinical Tests, Lower Back Pain, Neck Pain, Neurologic, Upper Back Pain

Lhermitte’s Sign

Purpose of Lhermitte’s Sign: To determine if there is a dural or meningeal irritation in the spine or to check if the dorsal column of the spinal cord is hyperexcitable due to demyelination. Patient position: Long sitting. Examiner position: Standing beside the examining table while the patient is in a long sitting position. Procedure: The examiner performs a gentle, passive flexion of the patient’s neck … Continue reading Lhermitte’s Sign

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