CLINICAL EXAMINATION SKILLS »
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

Copyright © 2025 Bárány Society, All Rights Reserved.
Secretariat: Åsa Eriksson - Department of Otorhinolaryngology - Head & Neck Surgery
University Hospital (Akademiska Sjukhuset) SE-751 85 Uppsala, Sweden - Phone +46 18 611 53 65 - E-mail asa.eriksson@akademiska.se