Meningeal Signs

Meningeal SignsCreated OnJune 1, 2020Last Updated OnJune 1, 2020byadmin You are here: Main Clinical Examination Meningeal Signs < All Topics Table of Contents Introduction: Meningism can lead to increase resistance to passive flexion of the neck (Brudzinski’s sign) or extension of the leg (Kernig sign). Presence of meningism suggests an intracranial infection (meningitis) or subarachnoid hemorrhage. Examination: Introduce yourself and explain to the patient regarding the examination, and gain consent. Expose adequately and fully extend patient’s both legs. To elicit the meningeal signs: Neck Stiffness/ Brudzinski’s Sign Support patient’s head with your hands over the occiput area. Gently flex patient’s neck until his chin touches his chest. Ask patient to hold the position for 10 seconds. (Neck cannot be flexed if there’s neck stiffness, and spasm can be felt) Flexion of knee in response to neck flexion – positive Brudzinski’s sign Kernig’s sign Flex one of the patient’s hip and knee, place one of your hand over patient’s medial hamstrings. Use your other hand to extend patient’s knee. Note the other leg for reflex flexion. Kernig’s sign positive is when extension is resisted.

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