2 2 Moderate to Severe Headache, Nuchal Rigidity
, and/or Visual Disturbances 34.
Examination of the neck revealed nuchal rigidity
with pronounced pain on both passive and active motion.
On examination, the patient had nuchal rigidity
and a coarse tremor in the chin, left arm, and both legs.
Symptoms included headache, visual disturbances or photophobia, neck pain or nuchal rigidity
, fatigue, fever, and hyperesthesias or paraesthesias of the trunk or arms and legs.
Other signs and symptoms that may appear are meningeal irritation characterized by Kerning's sign, Brudzinski's sign and nuchal rigidity
, photosensitivity, abnormal extra ocular movements, facial droop, diplopia, aphasia/dysphasia, contralateral pronator drift and hemiparesis.
Acute varicella-associated cerebellar ataxia occurs primarily in children and is characterized by ataxia with nystagmus, headache, nausea, vomiting, and nuchal rigidity
The patient was a thin African-American man who reported marked discomfort, with nuchal rigidity
Essentially the five patients with meningitis represented a group with somewhat milder symptoms than those with encephalitis; they experienced headache, nuchal rigidity
, cerebral spinal fluid pleocytosis, but no alteration of mental status.
Findings on neurologic examination were within normal limits except for mild nuchal rigidity
and some mild expressive aphasia.
The remaining 10 had at least one other sign, such as nuchal rigidity
, prolonged focal seizure, or petechial rash.
0[degrees] C), right arm weakness, slurred speech, diplopia, nuchal rigidity
, and dysphagia.
Pertinent negative findings included the absence of nuchal rigidity
on physical examination.