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The sensitivity of a positive Brudzinski's or Kernig's sign for the diagnosis of meningitis proved to be a mere 5%.
of cases % Altered sensorium 38 76 Bulging anterior frontonelle 19 38 Cranial Nerve Palsy Occulomotor 1 2 Abducent 1 2 Facial 6 12 Motor system Hemiplegia 4 8 Neck rigidity 26 52 Kernig's sign 18 36 Brudzinski's sign 11 22 Fundal changes papilledema 7 14 Subdural effusion 2 4
His Glasgow Coma Scale was 12/15, he had neck stiffness and Kernig's sign was positive.
A positive Kernig's sign is present if pain is experienced as the leg is extended at the knee when flexed at the hip (Elliot & Goldberg, 1997).