Meningococcal disease is typically diagnosed in children at presentation to a hospital after the onset of late-occurring classic symptoms, including hemorrhagic rash, meningism
, and impaired consciousness.
HPS may be mistaken for influenza or aseptic meningitis, except that sore throats, coryza (inflammation of the nasal membranes) and meningism
(irritation of the brain and spinal cord) are not common in HPS patients.
Grades (Gd) refer to Hunt and Hess grades at the time of treatment, grade I being asymptomatic or minimal meningism
, grade II moderate or severe meningism
but no neurological deficit excepting cranial nerve palsies, and grade III drowsy, confused, or a mild focal deficit.
was not present, and neurologic examination showed normal tone, symmetrically reduced reflexes, and downgoing plantar reflexes.
The other brainstem reflexes were all intact and there was no meningism
Symptoms and signs of meningism
and meningitis may be present, in addition to focal neurological deficits, isolated cranial nerve palsies, and abnormal involuntary movements.
and viral meningitis, 1997-2004: clinical data and cerebrospinal fluid cytokines.
The patient was alert and orientated with no features of meningism
Buxton and colleagues reported many possible complications from neuroendoscopy including delay in awakening, pneumocephalus, transient anisocoria, transient hemiparesis, cerebral infarction, transient fever, meningism
, infection, short-term memory loss, diabetes insipidus, inappropriate antidiuretic hormone secretion, transient cerebrospinal fluid leaks, chronic subdural haematomas, traumatic basilar artery aneurysm and hydrocephalus (1).
Specifically, there were no cerebellar signs, signs of meningism