Pemberton's sign- Suggests SVC syndrome, Neck Mass



The Pemberton maneuver is a physical examination tool used to demonstrate the presence of latent pressure in the thoracic inlet.  The maneuver is achieved by having the patient elevate both arms until they touch the sides of the face. A positive Pemberton's sign is marked by the presence of facial congestion and cyanosis, as well as respiratory distress after approximately one minute.



A positive Pemberton's sign is indicative of superior vena cava syndrome (SVC), commonly the result of a mass in the mediastinum. 



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