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A positive Spurling's sign is when the pain arising in the neck radiates in the direction of the corresponding dermatome ipsilaterally. [1] It is a type of cervical compression test. Patients with a positive Spurling's sign can present with a variety of symptoms, including pain, numbness and weakness.
Spurling's test: Roy Glenwood Spurling: neurology: cervical radiculopathy: Spurling's manoeuvre and sign at Who Named It? axial compression and rotation of cervical spine to the side of symptoms causes pain Stellwag's sign: Karl Stellwag von Carion: endocrinology: thyrotoxicosis: infrequent and/or incomplete blinking, accompanied by Dalrymple's ...
Lhermitte sign is not attributed to its discoverer. [12] It was first described by Pierre Marie and Chatelin in 1917. [13] Jean Lhermitte, a French neurologist and neuropsychiatrist, did not publish his first report until 1920. [14]
In the case of cervical radiculopathy , Spurling's test may elicit or reproduce symptoms radiating down the arm. Similarly, in the case of lumbosacral radiculopathy, a straight leg raise maneuver or a femoral nerve stretch test may demonstrate radiculopathic symptoms down the leg. [3]
Roy Glenwood "Glen" Spurling [1] (September 6, 1894 in Centralia, Missouri – February 7, 1968 in La Jolla, California) was an American neurosurgeon remembered for describing Spurling's test. Biography
The straight leg raise is a test that can be performed during a physical examination, with the leg being lifted actively by the patient or passively by the clinician. If the straight leg raise is done actively by the patient, it is a test of functional leg strength, particularly the rectus femoris element of the quadriceps (checking both hip flexion and knee extension strength simultaneously).
Hawkins–Kennedy test: a positive test indicates shoulder impingement syndrome; Empty beer can test: a positive test indicates rotator cuff tear, specifically, supraspinatus muscle tear; Drop arm test: a positive test indicates a supraspinatus tear; External Rotation test: a positive test indicates an infraspinatus or teres minor tear
Spurling's test can help rule out this etiology. [31] Precordial catch syndrome: Another benign and harmless form of a sharp, localized chest pain often mistaken for heart disease. Breast conditions; Herpes zoster (shingles): It is usually described as a burning sensation over the chest in a unilateral dermatome distribution. However, diagnosis ...