Jolt accentuation of Headache: Does this maneuver can rule out acute meningitis?

Acute meningitis is a medical emergency and accurate prediction of this infection, especially in resource-limited situations, could help physician to accelerate treatment and reduce the mortality and morbidity of patients. Jolt accentuation of headache (Jolt) is an easy clinical manuever for diagnosis of meningitis, but its diagnostic accuracy is controversial. We aimed to evaluate this maneuver, compared to classic maneuvers for diagnosis of acute meningitis.

急性脑膜炎属于临床急危重症，对该感染进行精准预判，尤其是在资源受限的医疗环境中，可协助医师加快诊疗进程，降低患者的死亡率与并发症发生率。头痛抖动激发试验（Jolt accentuation of headache，简称Jolt）是一种用于脑膜炎诊断的简易临床操作，但其诊断准确性尚存争议。本研究旨在将该操作与急性脑膜炎的经典诊断操作进行对比，评估其诊断效能。