Kernig’s sign, Brudzinski’s sign, and nuchal rigidity are bedside diagnostic signs used to evaluate suspected cases of meningitis. The presence of meningeal. Inflammation of the meninges, or meningitis, is a serious neurological insult that involves the membranes (dura, pia and arachnoid matter) covering the brain. JAH had the highest sensitivity and Kernig and Brudzinski had the highest ( ROC) curve of Neck stiffness (), Kerning (), Brudzinski (), . Tamune H, Takeya H, Suzuki W, Tagashira Y, Kuki T, Nakamura M.

Author: Kazilabar Vira
Country: Canada
Language: English (Spanish)
Genre: Environment
Published (Last): 12 December 2013
Pages: 201
PDF File Size: 18.35 Mb
ePub File Size: 4.15 Mb
ISBN: 923-8-83291-637-4
Downloads: 65775
Price: Free* [*Free Regsitration Required]
Uploader: Moogugore

Josef Brudzinski and Vladimir Mikhailovich Kernig: Signs for Diagnosing Meningitis

Practical approach to bacterial meningitis in childhood. Hitesh Garg Department of Neurology, G.

Delays in the administration of antibiotics are associated with mortality from adult acute bacterial meningitis. CSF analysis was considered as kening reference test. The signs and symptoms of Naegleria fowleri are exceedingly similar to bacterial meningitis and include fever, headache, elevated temperature, nucchal rigidity, positive Kernig and Brudzinski sign, changes in levels of consciousness, photophobia, cranial nerve palsies, and seizures with rapid progression to coma and death.

National Center for Biotechnology InformationU. Kernig definition of Kernig by Medical dictionary https: Meningitis, physical examination, headache kefning, secondary, neurologic manifestations. Demographic features, presenting vital signs, clinical signs and cerebrospinal fluid CSF analysis of kening studied patients. The authors are grateful to all the health staff and patients who participated in the study. Sanjay Pandey Department of Neurology, G. An improved clinical method for detecting meningeal irritation.


He was born in Lapaia, Latvia and received his medical education at the Ketning University. Acute bacterial meningitis in adults: Jolt Accentuation of headache: Received Aug; Accepted Dec. Influenza whooping cough and other respiratory viruses are some of diseases that can be serious for babies.

Vladimir Mikhailovich Kerniga Russian physician, described first meningeal sign, known as Kernig’s sign. Difficulties in the diagnosis of bacterial meningitis: Evaluation of antibiotic pretreatment and causes of admission to hospital. Positive likelihood ration, NLR: En diciembre se hallo dedos en palillo de tambor, tos, fiebre, disminucion de peso 15 kg, en ultimos 3 meseshipoalgesia e hipoestesia de rama izquierda del trigemino, la uvula y lengua desviadas a la derecha e izquierda, respectivamente; rigidez de nuca, Kernig positivo bilateral.

Rapid and accurate evaluation of the probability of meningitis is necessary, as delayed antibiotic treatment has negative effects on the brudzineki of the disease, and can culminate in non-compensable effects on central nervous system 4 – 6.

The diagnostic value of clinical signs in early diagnosis of meningitis has been evaluated but the existing results are contradicting. Area under the receiver operating characteristic ROC curve of Neck stiffness 0. Meningitis may be caused by any of a host of infectious and non-infectious agents including bacteria, viruses, fungi, parasites, drugs, autoimmune disorders, or malignancy which considerably influences morbidity and mortality.

The brduzinski accuracy of Kernig’s Sign, Brudzinski’s Sign, and nuchal rigidity in adults with suspected meningitis. Who spots the spots? Sampling strategy was convenient sampling. Therefore, evaluation is usually initiated by physical examination and checking for presence or absence of some clinical signs such as Kernig, Brudzinski and neck stiffness.


The frequency of physical signs usually attributed to meningeal irritation in elderly patients. In this diagnostic accuracy study, patients with suspected meningitis who were referred to the emergency department were examined regarding presence or absence of the mentioned clinical signs and screening performance characteristics of the signs were calculated. Inflammation of the meninges, or meningitis, is a serious neurological insult that involves the membranes dura, pia and arachnoid matter covering the brain and spinal cord.

Data were analyzed by SPSS All these factors may account for low sensitivity. Clin Pediatr Phila ; This article has nrudzinski cited by other articles in PMC. The most popular maneuver Brudzinski’s neck sign is performed with the patient in the supine position.

BrudziƄski’s sign – Wikipedia

The snippet could not be located in the article text. Historical origin and clinical aspects Kernig’s sign Vladimir Mikhailovich Kerniga Russian physician, described first meningeal sign, known as Kernig’s sign.

P value less than 0. Josef Brudzinski and Vladimir Mikhailovich Kernig: Physical examination and LP were performed by a senior resident of emergency medicine under the supervision kerrning the attending emergency medicine physician.

Brudzinski’s contralateral reflex sign consists of reflex flexion of a lower extremity after passive flexion of the opposite extremity [ Figure 1b ]. Diagnostic challenges with acellular bacterial meningitis.