d. Bedside examination »
CLINICAL EXAMINATION SKILLS

-  -  Clinical examination of postural stability and gait
-  -  -  Romberg
4 3 4 4 4 4 4 4
-  -  -  Romberg/tandem
4 3 4 4 4 4 4 4
-  -  -  Tandem gait
4 3 4 4 4 4 4 4
-  -  -  Push test
4 2 4 4 4 4 4 4
-  -  -  Slow and fast gait
4 2 4 4 4 4 4 4
-  -  -  Turning
4 2 4 4 4 4 4 4
-  -  Clinical oculomotor examination
-  -  -  Alignment in primary gaze
4 3 4 2 4 4 4 2
-  -  -  Monocular occlusion (congenital latent nystagmus)
4 3 4 1 4 4 4 1
-  -  -  Cover / Uncover test
4 3 4 2 4 4 4 2
-  -  -  Alternating-cover test
4 3 4 2 4 4 4 2
-  -  -  Gaze and ocular motility in all cardinal directions
4 3 4 2 4 4 4 2
-  -  -  Pursuit
4 3 4 3 4 4 4 4
-  -  -  Vergence
4 2 4 2 4 4 4 3
-  -  -  Saccades horizontal/vertical
4 2 4 2 4 4 4 3
-  -  -  Head impulse test for lateral semicircular canal
4 4 4 4 4 4 4 4
-  -  -  Visual-vestibulo-ocular reflex (VVOR)
3 2 3 2 4 4 4 3
-  -  -  Head tilt and ocular torsion
3 3 3 1 4 4 4 1
-  -  -  Fixation removal (video or Frenzel goggles):
-  -  -  Visual suppression VOR
4 4 4 4 4 4 4 4
-  -  -  -  Center and eccentric gaze
4 4 4 3 4 4 4 3
-  -  -  -  Visual suppression VOR
4 4 4 3 4 4 4 3
-  -  -  - 
3 4 4 2 3 4 4 2

Open Access: Yes


Castellucci, A., Botti, C., Bettini, M., Fernandez, I. J., Malara, P., Martellucci, S., Crocetta, F. M., Fornaciari, M., Lusetti, F., Renna, L., Bianchin, G., Armato, E., & Ghidini, A. (2021). Case Report: Could Hennebert’s Sign Be Evoked Despite Global Vestibular Impairment on Video Head Impulse Test? Considerations Upon Pathomechanisms Underlying Pressure-Induced Nystagmus due to Labyrinthine Fistula. Frontiers in Neurology, 12. https://doi.org/10.3389/fneur.2021.634782

Link
https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2021.634782/full

Description
This article provides a comprehensive overview of Hennebert's sign due to labyrinthine fistula

Keywords
fistula, perilymphatic, pressure, tragal compression, Hennebert, fistula sign, pressure-induced nystagmus

Reviewer
Raymond van de Berg

Topics
-  -  -  -  Valsalva (nose pinch and glottic)
3 4 4 2 3 4 4 2
-  -  -  -  Mastoid/skull vibration
3 3 3 3 4 4 4 4
-  -  -  -  Head shaking
3 3 3 3 4 4 4 4
-  -  -  -  Hyperventilation
3 3 3 2 4 4 4 2
-  -  Positional testing
-  -  -  Dix Hallpike maneuver (right and left hanging head position)
4 4 4 4 4 4 4 4
-  -  -  Supine roll test
4 4 4 4 4 4 4 4
-  -  -  Bow and lean test
3 3 3 4 3 3 3 4
-  -  -  Diagnosing benign positional nystagmus variants
NA NA NA NA 4 4 4 4
-  -  -  Diagnosing central positional nystagmus
NA NA NA NA 4 4 4 3
-  -  Neuro-ophthalmological examination
-  -  -  Pupillary examination (pupillary reaction, swinging light test, convergence)
4 3 4 1 4 4 4 1
-  -  -  SVV testing (e.g. bucket test)
3 2 4 3 3 3 3 4
-  -  -  Ophthalmoscopy with occlusion of non-examined eye
2 1 2 1 2 1 2 1
-  -  -  Optokinetic nystagmus
3 2 3 2 3 3 3 2
-  -  -  Maddox Rod (incl. Skew vs oblique paresis)
2 2 2 1 1 1 1 1
-  -  -  Use of prisms
2 1 2 NA 1 1 1 NA
-  -  Auditory testing
-  -  -  Examination of the external ear (including shape (microtia, atresia, lop, etc.), pre-auricular pits)
2 4 4 1 4 4 4 1
-  -  -  Otoscopy
2 4 3 NA 2 4 3 NA
-  -  -  Weber and Rinne test
2 4 4 2 3 4 4 2
-  -  Other
-  -  -  Testing for orthostatic hypotension (lying down, 1min and 3mins after standing up: Schellong test)
3 3 3 3 4 4 4 4
-  -  -  Blood pressure measurement of the two arms
3 3 3 3 4 4 4 4
-  -  -  Facial nerve evaluation
4 4 3 2 4 4 3 2
-  -  Pediatric aspects of clinical examination skills
-  -  -  Awareness of age-related adaptation of clinical examination (e.g. use a game for testing)
2 3 4 3 NA NA NA NA

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