special tests

1. Special tests

2. Special Tests
A. Romberg’s
B. Kernig’s sign
C. Brudenzki sign
D. Tinels’s sign
E. Slum test
F. Lehermitte’s sign
G. Bells Phenomenon
H. Gower’s sign
I. Sun set sign
J. Battle’s sign
K. Glabellar tap sign

3. Romberg’s
• Patient standing
– Heels together
• Eyes open – Excessive postural sway – Cerebellar Ataxia
• Eyes closed – Excessive postural sway – Sensory ataxia
(Positive Romberg’s)

4. Kernig’s sign
• Stretching the lumbar roots
– produces pain

5. Brudenzki sign

6. Tinels’s sign

7. Slum test

8. Lehermitte’s sign
• Barber chair phenomenon

9. Bells Phenomenon

10. Gower’s sign

11. • increase intracranial pressure
• Pressure on
– CN: III, IV, VI

12. Battle’s sign
• # Posterior cranial fossa of the skull
– Brain trauma
• sign
– bruising over the mastoid process
• extravasation of blood along the path of the posterior
auricular artery.

13. Glabellar tap sign
• This is a primative reflex that might be seen in
Parkinson's disease.