Kernig's Sign: Causes & Reasons

Possible Causes for Kernig's Sign

Kernig's sign. [dx.doi.org]

Seven patients had Kernig's sign but did not have Brudzinski's sign; 7 patients had Brudzinski's sign but did not have Kernig's sign; and 4 patients had both meningeal signs [dx.doi.org]

Diagnostic accuracy of Kernig's and Brudzinski's sign. [dx.doi.org]

Meningism

Description Kernig's sign is one of the physically demonstrable symptoms of meningitis. [physio-pedia.com]

Kernig's sign. [doi.org]

The Diagnostic Accuracy of Kernig's Sign, Brudzinski's Sign, and Nuchal Rigidity in Adults with Suspected Meningitis. Clin Infect Dis. (2002) 35 (1): 46-52. [physio-pedia.com]

Bacterial Meningitis

The classic signs of meningitis upon physical examination include neck stiffness, Kernig’s sign and Brudzinski’s sign. [symptoma.com]

Examination maneuvers such as Kernig sign or Brudzinski sign may not be useful to differentiate bacterial from aseptic meningitis because of variable sensitivity and specificity [ncbi.nlm.nih.gov]

Flexion of the neck may also cause reflex flexion of the legs (Brudzinski sign), and meningeal irritation may limit extension of the leg when flexed at the knee (Kernig sign [qiagen.com]

Staphylococcus Aureus Meningitis

Kernig's signKernig's sign (after Waldemar Kernig (1840–1917), a Baltic German neurologist, is positive when the thigh is bent at the hip and knee at 90 degree angles, and [slideshare.net]

Neck rigidity was not obvious but kernig’s sign was positive. [jpma.org.pk]

Kernig's sign (pain and resistance on passive knee extension with hips fully flexed). Brudzinski's sign (hips flex on bending the head forward). [patient.info]

Echovirus Meningitis

The second phase is characterized by signs of meningism, namely headache, neck stiffness, photophobia, as well as positive Kernig's and Brudinski's signs; these signs are [symptoma.com]

Kernig's sign (pain and resistance on passive knee extension with hips fully flexed). Brudzinski's sign (hips flex on bending the head forward). [patient.info]

gastrointestinal, cardiovascular or respiratory symptoms), signs (temperature, photophobia, neck stiffness, Kernig's sign, focal neurological signs) and laboratory data [health.gov.au]

Viral Meningitis

Nuchal rigidity (neck stiffness) Brudzinski sign and Kernig sign Flexion of the spine leads to stretching of the meninges. [pathophys.org]

Inability to straighten the knee when the hip is flexed (a positive kernig's sign ) and involuntary flexing of the hip and knee when the neck is flexed forward (a positive [medical-dictionary.thefreedictionary.com]

The attending notes that Kernig's sign is positive and also notes that when Todd is asked to lift his head off the table he involuntary lifts his legs as well. [coursera.org]

Meningococcal Meningitis

One of the physically demonstrable symptoms of meningitis is Kernig's sign. [mountsinai.org]

Meningococcal septicaemia without meningitis does not tend to present with stiff neck, back rigidity, bulging fontanelle, photophobia, Kernig's sign, Brudziñski's sign, paresis [patient.info]

Meningeal irritability can be confirmed by provocative tests like Kernig and Brudzinki sign. [ncbi.nlm.nih.gov]

Echovirus Infection

gastrointestinal, cardiovascular or respiratory symptoms), signs (temperature, photophobia, neck stiffness, Kernig's sign, focal neurological signs) and laboratory data [health.gov.au]

Only about one third of patients demonstrate Kernig and Brudzinski signs. [emedicine.medscape.com]

Kernig's sign was positive in 3 of 22 (14%), and fundoscopy was abnormal in 2 of 30 (7%). [ncbi.nlm.nih.gov]

Coxsackie Meningitis

The Kernig and Brudzinski signs may or may not be elicited. Leukocyte count is normal. [atsu.edu]

Clinical examination revealed neck stiffness and positive Kernig and Brudzinski signs. The remaining examination was noncontributory. [journals.lww.com]

Mollaret's Meningitis

On her current admission, she had no focal neurological signs apart from nuchal rigidity. Kernig's sign was elicited. [ispub.com]

Symptoms are headache, recurrent hyperthermia, nausea, vomiting, neck rigidity, malaise, myalgia, and positive Kernig and Brudzinski signs. [whonamedit.com]

Josef Brudzinski and Vladimir Mikhailovich Kernig: signs for diagnosing meningitis. Clin Med Res. 2010;8:13-17. 37. Landry ML, Greenwold J, Vikram HR. [uspharmacist.com]

Listerial Meningitis

Neurological examination showed positive meningeal presentations-severe neck stiffness, Brudzinski neck sign, Brudzinski symphyseal sign, Kernig’s sign. [aclr.com.es]

Although the mental status was intact at the time of presentation, neck stiffness, the Bruzinski sign and Kernig sign were all positive; there was no abnormality in motor [ncbi.nlm.nih.gov]

In addition to fever, Kernig’s and Brudzinski’s signs may occur in adults with acute meningitis. [uspharmacist.com]

Tularemic Meningitis

Patient symptoms consisted mostly of a stiff neck, positive Kernig and Brudzinski signs and a severe headache that would improve after a lumbar puncture. [journals.lww.com]

Meningeal Carcinomatosis

The Kernig sign and the Lasegue sign may be positive in the physical examination. [nnjournal.net]

Kernig’ s sign and Brudzinski’ s sign ( Side- bars) are easy to elicit and can alert physicians to the precarious situation of a patient with meningitis. [obomanub.tk]

Hemophilus Meningitis

Kernig and Brudzinski signs may be difficult to judge in irritable infants. [emedicine.medscape.com]

[…] of meningococcal septicaemia Kernig's sign: hip flexion with an extended knee causes pain in the back and legs CSF shunts, spinal and cranial abnormalities (eg dermal sinuses [rch.org.au]

Signs suggestive of meningeal pathology Meningeal signs that may be found in children include nuchal rigidity to passive flexion and the signs of Kernig or Brudzinski. [emedicine.medscape.com]

Herniated Disc

SLR aggravated by forced ankle dorsiflexion Bowstring sign SLR aggravated by compression on popliteal fossa Kernig test pain reproduced with neck flexion, hip flexion, and [orthobullets.com]

[…] predictive physical finding for identifying who is a good candidate for surgery contralateral SLR crossed straight leg raise is less sensitive but more specific Lesegue sign [orthobullets.com]

Multiple Ovarian Cysts

Description Kernig's sign is one of the physically demonstrable symptoms of meningitis. [physio-pedia.com]

Kernig's sign Kernig's sign (after Vladimir Mikhailovich Kernig, Russian-Baltic German neurologist 1840-1917) is positive when the leg is fully bent in the hip and knee, and [wikidoc.org]

Related clinical signs include Kernig's sign and three signs all named Brudzinski's sign. [askdifference.com]

Pneumococcal Meningitis

A 61-year-old Japanese woman presented with a headache and appetite loss lasting for nine days and was admitted to our hospital, where she was diagnosed with pneumococcal meningitis associated with acute sphenoid sinusitis. While the administration of meropenem and dexamethasone ameliorated the meningitis, right[…] [ncbi.nlm.nih.gov]

Lymphocytic Choriomeningitis

We describe a patient with meningitis caused by lymphocytic choriomeningitis virus. Oligoclonal IgG bands were found in the patient's cerebrospinal fluid during acute and convalescent stages of the illness, and results of liver function tests were abnormal. Acute attacks of lymphocytic choriomeningitis virus infection in[…] [ncbi.nlm.nih.gov]

Meningeal Tuberculosis

2015 ICD-9-CM Diagnosis Code 013.0 Tuberculous meningitis There are 7 ICD-9-CM codes below 013.0 that define this diagnosis in greater detail. Do not use this code on a reimbursement claim. 013.0 Excludes tuberculoma of meninges ( 013.1 ) Applies To Tuberculosis of meninges (cerebral) (spinal) Tuberculous:[…] [icd9data.com]

Leptospiral Meningitis

ICD.Codes ICD-10-CM (2016) Chapter 1 Section A20-A28 Code A27.81 BILLABLE Billable Code Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis. | ICD-10 from 2011 - 2016 A27.81 is a billable ICD code used to specify a diagnosis of aseptic meningitis in[…] [icd.codes]

Subarachnoid Abscess

Kernig's sign (pain and resistance on passive knee extension with hips fully flexed). Brudzinski's sign (hips flex on bending the head forward). [patient.info]

sign) or bending the neck (Brudzinski sign). [neuropathology-web.org]

Kernig's sign is resistance and pain when knee is extended with hips fully flexed. [drtbalu.co.in]

Chemical Meningitis

One of the physically demonstrable symptoms of meningitis is Kernig's sign. [mountsinai.org]

Kernig's sign (pain and resistance on passive knee extension with hips fully flexed). Brudzinski's sign (hips flex on bending the head forward). [patient.info]

[…] include the presence of positive Kernig's sign or Brudziński sign. [en.wikipedia.org]

Infectious Meningitis

The signs of Kernig and Brudzinski. Arch Neurol 1969; 21: 215-218. Kernig W. Ueber ein Wenig bemerktes Meningitis Symptom. Berl Klin Wochenschr 1884: 21: 829-832. [medigraphic.com]

Un signe nouveau sur les membres inferieurs dans les meningites chez les enfants (signe de la nuque). Arch Med Enfants 1909; 1991: 745-752. [medigraphic.com]

Plague Meningitis

Look at other dictionaries: plague meningitis — meningitis occurring as a rare complication of bubonic plague as a result of hematogenous spread of the infection from a bubo to involve the meninges, or less often as a primary infection without antecedent bubo formation. Called also meningeal[…] […] Medical dictionary[…] [medicine.academic.ru]

Anaerobic Meningitis

However, the Kernig sign remained positive. Blood bacterial culture and gram staining of the CSF on admission was normal. [frontiersin.org]

(+), Kernig sign (−), bilateral Babinski sign (+), knee jerk reflex (+), normal muscle tone in the limbs, no rashes, no skin ulceration, and no abnormal superficial structures [tp.amegroups.com]

Her physical examination revealed a fever of 38.1°C; and neurological examination revealed a stiff neck and positive Brudzinski and Kernig signs. [frontiersin.org]

Meningeal Sarcomatosis

The Kernig sign and the Lasegue sign may be positive in the physical examination. [oaepublish.com]

Lateral Ventricle Meningioma

Physical examination showed neck stiffness and Kernig's sign but no other positive signs of the nervous system. [medsci.org]

Subacute Adenoviral Encephalitis

Kernig’s and Brudzinski’s signs are also classic signs of meningeal irritation. Kernig’s sign is elicited with the patient in the supine position. [accessmedicine.mhmedical.com]

Clinical Features The physical finding Vary Depending on the host, causative organism, severity of the illness Kernig’s and Brudzinski’s signs are present ~ 50 % of adults [slideshare.net]

Although commonly tested on physical examinations, the sensitivity and specificity of Kernig’s and Brudzinski’s signs are uncertain. [accessmedicine.mhmedical.com]

Herpes Zoster with Meningitis

Her consciousness was clear, and her deep tendon reflexes were normal; Kernig’s sign was negative, although she had neck stiffness. [jmedicalcasereports.biomedcentral.com]

Multiple Hamartoma Syndrome

Description Kernig's sign is one of the physically demonstrable symptoms of meningitis. [physio-pedia.com]

Kernig's sign Kernig's sign (after Vladimir Mikhailovich Kernig, Russian-Baltic German neurologist 1840-1917) is positive when the leg is fully bent in the hip and knee, and [wikidoc.org]

sign is named after Russian-German neurologist Vladimir Mikhailovich Kernig (1840-1917), while Brudziński signs are named after a Polish pediatrician Josef Brudziński (1874 [radiopaedia.org]