14 Questions
What is the purpose of testing for meningeal signs?
To evaluate spinal nerve function
What does resistance to neck flexion indicate in the context of meningeal signs?
Inflammation in the subarachnoid space
What should be observed as the neck is flexed to detect Brudzinski Sign?
Resistance in the hips and knees
What is the expected reaction during the Kernig Sign maneuver?
Pain behind the knee during full extension
In what percentage of patients with acute bacterial meningitis is neck stiffness with resistance to flexion found?
~84%
What is the overall diagnostic accuracy of neck stiffness with resistance to flexion?
Low
Which sign is positive when there is pain and increased resistance to knee extension?
Kernig sign
Which test involves flexion of both the hips and knees to indicate a positive sign?
Brudzinski sign
What does a positive straight leg raise test indicate?
Lumbosacral radiculopathy
What is the frequency range of Brudzinski and Kernig signs in patients with meningitis?
5% to 60%
Which test is used to assess for lumbosacral radiculopathy by raising the patient’s relaxed and straightened leg?
Straight leg raise test
What does asterixis suggest in patients with impaired mental functions?
Metabolic encephalopathy
What can further increase leg pain in lumbosacral radiculopathy or sciatic neuropathy?
Foot dorsiflexion
What makes the diagnosis of sciatica five times more likely?
Leg wasting
Test your knowledge of important meningeal signs used to assess for meningeal inflammation, such as in cases of meningitis or subarachnoid hemorrhage. This quiz covers the assessment of neck mobility and nuchal rigidity, and the precautions to take in trauma settings.
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