Patients suffering with hypertension, diabetes mellitus, any chronic ailment, on long term medication, multidirectional, non-fatiguing nystagmus, hearing loss, other cranial nerve deficits, Truncal ataxia, Inflamed tympanic membrane, Mastoid tenderness High grade fever and Nuchal rigidity
were excluded from study.
As intracranial pressure (ICP) increases, patients develop vomiting, lethargy, headaches, and personality changes, as well as cranial nerve palsies and nuchal rigidity
Other signs of meningeal irritation are nuchal rigidity
or neck stiffness.
Symptoms of acute INKV and CHATV infections, as recorded in charts of 7 patients hospitalized with unknown infection, Finland * Symptom INKV, N = 5 CHATV, N = 2 Fever 5 2 Influenza-like symptom 4 0 Headache 4 2 Nausea/vomiting 2 1 Disorientation 2 1 Sore throat 2 0 Nuchal rigidity
2 0 Changes in EEG 2 0 Diarrhea 1 0 Seizure 1 0 Drowsiness 1 0 * These 7 patients were hospitalized with unknown infection (Table 3), which were determined to be Inkoo virus (INKV) or Chatanga (CHATV) infections.
dagger]) Includes nuchal rigidity
, Kernig's sign, and Brudzinski's sign.
Upon presentation, he was febrile, irritable, and vomiting, and he had left-sided paresis of his arm and slight nuchal rigidity
Symptoms related to SAH may include nuchal rigidity
, visual disturbances, vomiting, and confusion.
Essentially, the five patients with meningitis represented a group with somewhat milder symptoms than those with encephalitis; they experienced headache, nuchal rigidity
, cerebrospinal fluid (CSF) pleocytosis, but no alteration of mental status.
In the following days, high fevers, altered mental status, and nuchal rigidity
without focal neurologic deficits developed.
1-4) In cases that involve the cervical paraspinous musculature, patients may present with nuchal rigidity
, neck pain, odynophagia, and low-grade fever.
Examination found no cogwheeling nuchal rigidity
and only minimal cogwheeling elbow rigidity with reinforcement.
Hydrocephalus may occur, followed by increasing lethargy, nuchal rigidity
, convulsions, coma, and death.