Meningism
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| ICD-10 | R29.1 |
|---|---|
| ICD-9 | 781.6 |
Meningism is condition characterized by neck stiffness, headache, and other symptoms suggestive of meningeal irritation, but without actual inflammation of the meninges (which when accompanied would be meningitis). Spinal fluid pressure may be elevated but unlike meningitis spinal fluid is normal.[1] It is also sometimes called Dupre's syndrome, meningitis-like reaction, meningitis like reaction, pseudomeningitides reaction, meningitis-like syndrome.
[edit] Clinical signs
Nuchal rigidity is the inability to flex the head forward due to rigidity of the neck muscles. Brudzinski’s sign is involuntary lifting of the legs in meningeal irritation when lifting a patient’s head. Kernig’s sign is resistance and pain when knee is extended with hips fully flexed. Patients may also show opisthotonus—spasm of the whole body that leads to legs and head being bent back and body bowed forward.
[edit] See also
[edit] References
- ^ The American Heritage Stedman's Medical Dictionary, NIH MeSH. KMLE Medical Dictionary - American Heritage Medical Dictionary, NIH MeSH Definition of meningism. Retrieved on: 2007-01-21
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