Past-pointing

A test of the integrity of the vestibular system: the subject, seated in a revolving chair, is rotated to the right 10 times with eyes closed; then with the arm held horizontal, the right index finger is brought in touch with the tip of the examiner's finger; the arm is then raised vertically and the subject is instructed to touch the examiner's finger on bringing the arm once more to the horizontal; if the vestibular apparatus is normal, the finger will be brought down several inches to the right of the examiner's finger; the reverse is true on rotation to the left. In cerebellar disease, a patient attempting to reach a point with the finger will overshoot it. The test is also used in connection with caloric stimulation. In some vestibular disorders, past-pointing occurs without rotation or caloric stimulation.

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