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Hautant’s test is designed to detect the presence of vertebrobasilar insufficiency. This test should not be performed if the patient already exhibits any signs or reports any symptoms suggesting vertebrobasilar insufficiency. It’s important to note that this test is considered to have low sensitivity. Therefore a negative test does not exclude the presence of vertebrobasilar insufficiency.
To perform this test, ask the patient to raise both arms to 90 degrees of shoulder flexion with their palms facing up. Now ask the patient to close their eyes and extend and rotate their neck to one side, holding this position for about 30 seconds. Observe the position of the arms and ask the patient to report the onset of any symptoms
The test is considered positive if there is any deviation in the position of the arms or if the patient reports nausea, vertigo, tinnitus, sensory disturbance, or the feeling of losing balance. If the patient has any of these signs and symptoms cease the test immediately and ask them to return the neck to the neutral position. If the test is negative, repeat the procedure with the head rotated to the opposite side.
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