Meningism

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meningeal signs

Meningism expresses the presence of objective and subjective symptoms of meningeal irritation without simultaneous anomalous cellular, biochemical and microbiological findings in cerebrospinal fluid. In particular, stiff neck muscles, which can occur especially in children with high fever.

These possibilities come into consideration in the differential diagnosis of meningism:

  • trauma (whiplash injury, neck trauma)
  • infections (bacterial pneumonia, coxsackie virus infection, enteritis caused by Shigella, acute / epidemic typhus, leptospira infections, acute poliomyelitis, lymphocytic choriomeningitis)
  • degenerative disease (cervical osteoarthritis)
  • vascular disorders (subarachnoid hemorrhage, cavernosus sinus thrombosis
  • vegetative and endocrine disorders (increased intracranial pressure)
  • others, such as tension headache in children and adolescents

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  1. -Differential Diagnosis For Meningismus [online]. Poslední revize 11/12/12, [cit. 2012-11-16]. <http://en.diagnosispro.com/differential_diagnosis-for/meningismus/34641-154.html>.
  2. ↑ -meningismus [online]. ©2008. [cit. 2012-11-16]. <http://lekarske.slovniky.cz/pojem/meningismus>.
  3. ↑ ALMAZOV, Irina. Meningismus is a commonly overlooked finding in tension-type headache in children and adolescents [online]. ©2006. [cit. 2012-11-16]. <https://www.researchgate.net/publication/6886705_Meningismus_is_a_Commonly_Overlooked_Finding_in_Tension-Type_Headache_in_Children_and_Adolescents>.