Physical examination maneuver

Physical Exam

Brudzinski Sign

also known as Nape-of-the-neck sign
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How to Perform

With the patient supine and the limbs extended, place one hand behind the head and passively flex the neck, bringing the chin toward the chest. A positive sign is involuntary flexion of the hips and knees in response to the neck flexion.

How to Interpret

Showing all 1 finding

Meningitis

Brudzinski sign positive
Rule in
Somewhat helpfulNo CI
Rule out
Not helpfulNo CI
Evidence:Moderate

References

  • Akaishi T, Kobayashi J, Abe M, Ishizawa K, Nakashima I, Aoki M, et al. Sensitivity and specificity of meningeal signs in patients with meningitis. J Gen Fam Med. 2019;20(5):193-198. doi:10.1002/jgf2.268. PMID: 31516806. PMCID: PMC6732499.
  • Brudzinski J. Un signe nouveau sur les membres inférieurs dans les méningites chez les enfants (signe de la nuque). Arch Med Enf. 1909;12:745-752.

Research last updated September 9, 2026.