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

BMC Research Notes

Table 1 Comparison of clinical findings and CSF characteristics in meningitis patients based on Jolt maneuver status

Variable	Jolt	Frequency	Mean ± SD	t	Df	Sig. (2-tailed)*
Age (years)	–	24	43.25 ± 16.05	0.142	62	0.887
Age (years)	+	40	42.62 ± 17.59	0.142	62	0.887
Duration of headache (days)	–	24	4.08 ± 3.39	0.749	60	0.457
Duration of headache (days)	+	38	3.55 ± 2.18	0.749	60	0.457
Body temperature	–	23	38.24 ± 0.33	− 1.651	60.63	0.104
Body temperature	+	40	38.43 ± 0.54	− 1.651	60.63	0.104
RR/min	–	19	18.05 ± 2.34	− 2.220	52	0.031
RR/min	+	35	19.51 ± 2.29	− 2.220	52	0.031
PR/min	–	21	85.04 ± 11.59	− 2.639	58	0.011
PR/min	+	39	91.97 ± 8.53	− 2.639	58	0.011
Sys BP (mmHg)	–	23	118.34 ± 18.86	0.188	61	0.85
Sys BP (mmHg)	+	40	117.57 ± 16.12	0.188	61	0.85
Dias. BP (mmHg)	–	23	74.39 ± 9.99	− 0.020	61	0.984
Dias. BP (mmHg)	+	40	74.45 ± 12.08	− 0.020	61	0.984
WBC (cell/µl)	–	17	9184 ± 4180	− 2.236	41	0.031
WBC (cell/µl)	+	26	11721 ± 3244	− 2.236	41	0.031
CRP	–	17	53.98 ± 59.08	− 0.193	37	0.848
CRP	+	22	57.16 ± 43.74	− 0.193	37	0.848
ESR (mm)	–	19	26.47 ± 24.45	0.680	38	0.501
ESR (mm)	+	21	32.09 ± 27.49	0.680	38	0.501
Sugar (mg/dl) CSF	–	24	53.37 ± 18.99	0.07	61	0.938
Sugar (mg/dl) CSF	+	39	52.74 ± 36.28	0.07	61	0.938
Protein (mg/dl)	–	24	65.81 ± 43.46	− 0.79	61	0.431
Protein (mg/dl)	+	39	73.90 ± 36.54	− 0.79	61	0.431
LDH	–	24	78.08 ± 86.30	− 1.38	55.54	0.171
LDH	+	37	125.28 ± 177.03	− 1.38	55.54	0.171
WBC (cell/µl)	–	24	276.54 ± 471.71	− 1.01	62	0.312
WBC (cell/µl)	+	40	1338.55 ± 5074.41	− 1.01	62	0.312
PMN (cell/µl)	–	24	60.16 ± 97.93	− 2.32	38.17	0.025
PMN (cell/µl)	+	38	431.68 ± 975.97	− 2.32	38.17	0.025

ISSN: 1756-0500