EBQ:Jolt Test: Difference between revisions
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==Definition== | |||
*Horizontal rotation of the head at frequency of 2 rotations/second - exacerbation of pre-existing headache is positive test. | |||
*Although a 1991 study<ref>Jolt accentuation of headache: the most sensitive sign of CSF pleocytosis. Headache. 1991 Mar;31(3):167-71.</ref> showed high sensitivity with this test, multiple newer studies have cast doubt on its sensitivity<ref>Absence of jolt accentuation of headache cannot accurately rule out meningitis in adults. Am J Emerg Med. 2013 Nov;31(11):1601-4</ref><ref>Jolt accentuation of headache and other clinical signs: poor predictors of meningitis in adults. Am J Emerg Med. 2014 Jan;32(1):24-8</ref>. Although it may be clinically useful in the right subset of patients, it should not be considered to be 100% Sn | |||
==Clinical Question== | ==Clinical Question== | ||
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===Trial 3=== | ===Trial 3=== | ||
==See Also== | |||
*[[Meningitis]] | |||
==References== | |||
== | |||
<references/> | <references/> | ||
[[Category:EBQ]] | [[Category:EBQ]] | ||
[[Category:Neurology]] | |||
Latest revision as of 14:15, 22 March 2016
Definition
- Horizontal rotation of the head at frequency of 2 rotations/second - exacerbation of pre-existing headache is positive test.
- Although a 1991 study[1] showed high sensitivity with this test, multiple newer studies have cast doubt on its sensitivity[2][3]. Although it may be clinically useful in the right subset of patients, it should not be considered to be 100% Sn
Clinical Question
Pro Argument
Trial 1
Trial 2
Trial 3
Con Argument
Trial 1
Trial 2
Trial 3
See Also
References
- ↑ Jolt accentuation of headache: the most sensitive sign of CSF pleocytosis. Headache. 1991 Mar;31(3):167-71.
- ↑ Absence of jolt accentuation of headache cannot accurately rule out meningitis in adults. Am J Emerg Med. 2013 Nov;31(11):1601-4
- ↑ Jolt accentuation of headache and other clinical signs: poor predictors of meningitis in adults. Am J Emerg Med. 2014 Jan;32(1):24-8