Signs and Evidence

Making clinical sense of scientific data


Beware of the limitations of this tool


Clinical signs

1Jolt accentuation
2Kernig's sign
3Brudzinski's sign
4Nuchal rigidity

Sources used:

1.Thomas KE et al. The diagnostic accuracy of Kernig's sign, Brudzinski's sign, and nuchal rigidity in adults with suspected meningitis. Clinical Infectious Diseases, Volume 35, Issue 1, 1 July 2002, Pages 46–52
2.Ala A et al. Accuracy of Neck stiffness, Kernig, Brudzinski, and Jolt Accentuation of Headache Signs in Early Detection of Meningitis. Emerg (Tehran). 2018; 6(1): e8
3.Mofidi M et al. Jolt accentuation and its value as a sign in diagnosis of meningitis in patients with fever and headache. Turk J Emerg Med. 2017 Mar; 17(1): 29–31