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Signs of meningeal irritation

Signs of meningeal irritation
Signs of meningeal irritation Maneuver Positive test
Kernig sign Place patient supine with hip flexed at 90 degrees. Attempt to extend the leg at the knee. The test is positive when there is resistance to extension at the knee to >135 degrees or pain in the lower back or posterior thigh.
Brudzinski sign Place patient in the supine position and passively flex the head toward the chest. The test is positive when there is flexion of the knees and hips of the patient.
Jolt accentuation of headache Patient rotates his/her head horizontally two to three times per second. The test is positive if the patient reports exacerbation of his/her headache with this maneuver.
Graphic 82677 Version 4.0

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