meningeal sign

meningeal sign

A clinical sign of meningeal irritation:
(1) Brudzinski signs (chin to chest evokes hip flexion);
(2) Kernig sign (resistance to knee extension evokes pain in hamstrings);
(3) Nuchal rigidity.
Of the three, nuchal rigidity is the most useful; none are very reliable.

meningeal sign

Neurology Any clinical sign that indicates meningeal irritation; of the 3 signs–Brudzinski's signs–chin to chest evokes hip flexion, Kerdnig's sign–resistance to knee extension evokes pain in hamstrings, and nuchal rigidity, the last is most useful; none are reliable
References in periodicals archive ?
On central nerve examination, GCS=10/15, moving all limbs, neck stiffness, meningeal sign are positive.
One case had cerebellar symptoms such as ataxia and dysdiadochokinesia (9); in another case the alteration of the state of consciousness was one of the first symptoms (10), and in another no meningeal signs were reported (11).
sup][7] In this case, the patient was febrile and not sedated; there were no focal signs, no meningeal signs, no trauma, whereas Confusion Assessment Method indicated delirium, therefore SAE was likely.
At the time of the hospital visit, 9 (12%) patients had signs and symptoms suggesting meningeal involvement; 3 (4%) others had clear meningeal signs.
He had neck stiffness, although other meningeal signs were absent.
Myoclonus, tremors, paresis, torticollis, nystagmus, meningeal signs of hyperesthesia and cervical rigidity or optic nerve signs may also be seen (Mc Grath,1960; Innes and Saunders ,1962).
At admission the child was febrile, dull looking, haemodynamically stable with no meningeal signs or focal neurological deficit.
Clinically, patients typically present with fever, headache, nausea, and meningeal signs.
The neurologic examination revealed anisocoria (right>left) with the abolition of pupillary light reflex; without meningeal signs or other pathological findings.
Physical examination was remarkable for high grade fever, incoherent speech, confusion, dry skin, no cardiac murmurs, clear lung fields, no meningeal signs, and Glasgow Coma Score of 8.
The major signs observed were fever in 29 (51%), and meningeal signs in 34 (60%).
0[degrees]C] axillary) and either neck stiffness, altered consciousness with no alternative diagnosis, or other meningeal signs (5).