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Meningism

Meningisms

Meningism refers to nuchal rigidity or neck stiffness.


Presentation

  • A diagnosis of spinal subarachnoid haemorrhage should be considered in any patient who presents with acute back pain and slowly or rapidly progressive neurological signs in the limbs, even when meningism is absent.[ncbi.nlm.nih.gov]
  • It typically presents with a recent onset of temporal headache, myalgia, malaise or fever. We report a rare case of meningism as a presenting feature of GCA.[academic.oup.com]
  • M Tuberculoma, presenting with features of meningism like neck rigidity, positive Kernig's sign and Brudzinski's sign is not very common, but it was the presenting feature in our patient.[freethesaurus.com]
  • Other presentations include seizures and hydrocephalus. Neuroimaging is important in patients presenting with headache and signs of meningism.[casereports.bmj.com]
Sputum
  • Other laboratory tests including chest X-ray, syphilis screening, human immunodeficiency virus antibody, cancer marker, culture study of blood, sputum and urine were unremarkable. Computed tomography of brain was unremarkable.[thejournalofheadacheandpain.springeropen.com]
Hyperthermia
  • […] intensive care stay - a "hypoactive" form thereof Seizures (post Non-convulsive status epilepticus Raised intracranial pressure Autoimmune causes Cerebral vasculitis Traumatic causes Sequelae of diffuse brain injury, eg. diffuse axonal injury Hypothermia or hyperthermia[derangedphysiology.com]
  • A child younger than 3 months may have very nonspecific symptoms, including hyperthermia or hypothermia, change in sleeping or eating habits, irritability or lethargy, vomiting, high-pitched cry, or seizures.[emedicine.medscape.com]
Blurred Vision
  • vision History A 20-year old male with headache, stiff neck, photophobia and blurred vision.[collections.lib.utah.edu]
  • He had contracted viral meningitis 15 years previously at the age of 11 since when he had suffered migraine attacks and blurred vision. Cranio-sacral diagnosis immediately identified the affected area of the meninges.[ccst.co.uk]
Neck Pain
  • Then, neck MRI was performed for the exploration of neck pain and stiffness.[thejournalofheadacheandpain.springeropen.com]
  • I think the neck pain was replaced by headaches.[answers.com]
  • Once again, the most common symptom pattern is persistent headache, neck pain, visual disturbances, photophobia, nausea, vagueness, poor concentration, poor memory and a general sense of malaise and unwellness.[ccst.co.uk]
  • MD My almost 3 year old daughter woke up this morning with neck pain and stiffness...she will literally cry out in pain when she moves it a certain way.[healthcaremagic.com]
  • The other thing for the head and neck pain may be Feverfew a herbal remedy.[healthboards.com]
Neck Stiffness
  • Meningism refers to nuchal rigidity or neck stiffness.[symptoma.com]
  • It may also be caused by infection with a bacterium, virus, or fungus A disorder characterized by neck stiffness, headache, and photophobia resulting from irritation of the cerebral meninges The symptoms of neck stiffness, headache, and photophobia resulting[icd9data.com]
  • English English Noun ( wikipedia meningism ) The triad of nuchal rigidity (neck stiffness), photophobia, and headache, a sign of irritation of the meninges, as seen in meningitis, subarachnoid hemorrhages, etc.[wikidiff.com]
  • Definition 1 The symptoms of neck stiffness, headache , and photophobia resulting from meningeal irritation . Causes include subarachnoid hemorrhage and acute febrile diseases.[tititudorancea.com]
  • […] but neck stiffness can be seen occasionally.[freethesaurus.com]
Kernig's Sign
  • External links [ edit ] FPnotebook page on meningeal signs Image of Kernig's sign[en.wikipedia.org]
  • 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 subsequent extension in the knee is painful (leading to resistance). [3] .[wikidoc.org]
  • Kernig's sign is said to be positive when the thigh is flexed at the hip and knee at 90 degree angles, and subsequent knee extension is painful (giving rise to resistance).[xpertdox.com]
  • Following clinical signs are typically the Meningism also positive: Brudzinski sign Kernig's sign Lasègue characters Diseases Typical diseases with meningism are: Meningitis ( meningitis ) Subarachnoid hemorrhage Carcinomatous meningitis Septicopyemia[memim.com]
  • Particular attention was paid to examination of meningeal signs, including nuchal rigidity, Kernig's sign, Brudzinski's three signs (upper, middle, and lower), the "tripod" sign, and Guillain's and facial signs; the presence of these signs was regarded[ncbi.nlm.nih.gov]
Rabies
  • ., varicella rash, genital lesions in herpes, enterovirus rash), herpangina in coxsackie virus infection, parotid swelling in mumps, petechiae in meningococcemia, history of Koch's contact, handling animals (brucellosis), or dog-bite (rabies) are important[jpgmonline.com]
Stupor
  • The diagnosis of stupor and coma . Vol. 19. Oxford University Press, 1982. - warning! This link takes you to a download of the whole 9.0Mb file, which represents the entire volume of the 1980 second edition.[derangedphysiology.com]

Workup

  • Young infants commonly require lumbar puncture as a part of the routine workup for fever without a source, as they have a much higher risk of meningitis than older persons and do not reliably show signs of meningeal irritation ( meningismus ).[diki.pl]
  • Subsequent workup revealed a HIV-1 viral load of 239,000 and a CD4 lymphocyte count of 59/mm 3 . Over the course of his admission, blood cultures grew Streptococcus alactolyticus, which was sensitive to ceftriaxone, so vancomycin was discontinued.[practicalneurology.com]

Treatment

  • Treatments and pathologies linked to “meningism” Associated treatments Apis Mellifica Bryonia Alba Associated pathologies Headaches Vomiting Good to know : Traditional analgesics only have a limited effect on intense headaches which is why, in such cases[homeopathyguide.net]
  • More treatment-centered approach helps you focus on the therapeutic process—from diagnostic evaluation and testing to treatment selection.[books.google.it]
  • Keywords Meningism Deep neck abscess Medical treatment Introduction Widespread deep neck abscess is an uncommon clinical condition in healthy adults [ 1 ].[thejournalofheadacheandpain.springeropen.com]
  • […] is an approach that improves the quality of life of patients and their families facing the problems associated with lifethreatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment[books.google.it]
  • Treatment of the long term after effects with cranio-sacral therapy.[ccst.co.uk]

Prognosis

  • We also include a review of the relevant literature including the implications for HIV status on the patient’s prognosis.[practicalneurology.com]
  • Prognosis [ 8 ] Mortality ranges between 17% and 32%. Poor prognosis is reported in patients who are immunocompromised, have diabetes mellitus or cirrhosis and presentation with a low Glasgow Coma Score.[patient.info]
  • […] also offer better meds that are better geared for her specific condition.It is hard to see your child go through something so very painful and debilitating.i had to deal with that when my son went into liver failure.not pretty.What is her long term prognosis[healthboards.com]
  • Prognosis All the X-Men at some point had meningitis. It is necessary to have had meningitis in order to become a member of the X-Men.[medrevise.co.uk]
  • But there is a shot for it, and then you can't get it.. it is very very very very very very deadly so dont share drinks with other people The prognosis of meningitis varies between the different causative agents.[answers.com]

Etiology

  • Skip to content Etiology Ethylene Glycol Intoxication (see Ethylene Glycol , [[Ethylene Glycol]]) Meningitis (see Meningitis , [[Meningitis]]) xxx xx References xxx[mdnxs.com]
  • Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'.[icd10data.com]
  • , 1944 , vol. 76 (pg. 57 - 76 ) 2 Mollaret's meningitis: cytopathologic analysis of fourteen cases , Diagn Cytopathol , 2003 , vol. 28 (pg. 227 - 231 ) 3 Recurrent benign lymphocytic meningitis , Clin Infect Dis , 2006 , vol. 43 (pg. 1194 - 1197 ) 4 Etiology[academic.oup.com]
  • Serology tests can be done to explore the underlying infective etiology and work up the diagnosis.[xpertdox.com]

Epidemiology

  • He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education.[lifeinthefastlane.com]
  • Infection Control and Hospital Epidemiology. 2007;28(5):614-617. Pandian JD, Sarada C, Radhakrishnan VV, Kishore A. Iatrogenic meningitis after lumbar puncture—a preventable health hazard.[practicalneurology.com]
  • In this article arrow-down Epidemiology arrow-down Aetiology arrow-down Presentation arrow-down Differential diagnosis arrow-down Investigations arrow-down Management arrow-down Complications arrow-down Prognosis Intracranial abscesses are uncommon, serious[patient.info]
  • Epidemiology Viral meningitis is the commonest cause (though not as serious). Bacterial meningitis has an incidence of 2-3 per 100,000. Pathophysiology There are a variety of pathogens which cause bacterial meningitis.[medrevise.co.uk]
  • In this article arrow-down Epidemiology arrow-down Presentation arrow-down Differential diagnosis arrow-down Investigations arrow-down Associated diseases arrow-down Management arrow-down Complications arrow-down Prognosis Synonym: glandular fever Infectious[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • Its pathophysiology is related to T-cell-mediated autoimmune processes directed against one or more antigenic components of melanocytes.[panafrican-med-journal.com]
  • Exact seizure pathophysiology is unknown.[pathophys.org]
  • Pathophysiology There are a variety of pathogens which cause bacterial meningitis. Also listed are the age groups in which the organism is common: Neisseria meningitidis (or meningococcus): all age groups except neonates.[medrevise.co.uk]
  • Pathophysiology Usually after or concurrent with septicaemia Most of the damage comes from host response, and not infective organism Activated leukocytes release inflammatory mediators, which result in cerebral oedema.[almostadoctor.co.uk]

Prevention

  • Prevention of bacterial endocarditis. ‎[books.google.it]
  • Healthcare personnel and patients alike should be advised of this risk as well as measures to prevent its occurrence.[practicalneurology.com]
  • In case of subarachnoid hemorhage, prevention of rebleeding is essential. In case a subarachnoid hemorrhage is suspected, its origin needs to be determined by cerebral angiography.[xpertdox.com]
  • Prevention depends on use of vaccines, rapid diagnosis, and prompt treatment of close personal contacts. (MORE) The meninges are membranes that surround the brain.[answers.com]
  • Other preventive lifestyle measures that help include satisfactory sleep, adequate diet, eliminating triggering factors and incorporating relaxation techniques. Summary Meningeal irritation is proven to be the cause of chronic headaches in children.[manipalblog.com]

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Last updated: 2014-05-06 22:04