meningism

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Related to Brudzinski's sign: Kernig's sign, meningitis

meningism

[mə′nin‚jiz·əm]
(medicine)
A condition in which signs and symptoms suggest meningitis, but clinical evidence for the disease is absent. Also known as meningismus.
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References in periodicals archive ?
Diagnostic Accuracy of Classic Signs of Meningitis in 297 Patients Sensitivity Specificity PPV (*) NPV (**) Kernig's sign 5% 95% 27% 72% Brudzinski's sign 5% 95% 27% 72% Nuchal rigidity 30% 68% 26% 73% (*)Positive predictive value.
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 76% of patients had altered sensorium and 24% of patients were conscious and coherent.
Patient characteristics * Characteristic HIV-positive, n (%) 81 (75.7) HIV-negative, n (%) 11 (10.3) HIV status unknown, n (%) 15 (14.0) CD4+ (cells/pl), median (IQR) 285.5 (47-408) Headache, n (%) 80 (76.0) Photophobia, n (%) 41 (38.0) Confusion, n (%) 44 (41.0) Seizures, n (%) 6 (5.6) Temperature, n (%) 34 (32.0) Kernig's or Brudzinski's sign, n (%) 20 (19.0) Terminal neck stiffness, n (%) 38 (36.0) Focal neurology, n (%) 2 (2.1) IQR = interquartile range.
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.[2,5,13]
During neurological examination, he was conscious, cooperative, and positive for neck stiffness and Kernig's and Brudzinski's signs, suggestive of the main findings of meningeal irritation.