Meningeal symptoms - what is it?
Meningeal symptoms (meningeal signs) - a concept that includes subjective disorders and objective symptoms, which can be determined by examining the patient.
Cardiac meningeal symptom is the headachepain, which is characterized by a high intensity (so strong that the patients can grasp the head, groan and even scream for pain), diffuse (that is, hurts the entire area of the head) and the sensation that the head is bursting.
Patients suffering from meningeal symptoms,constantly feel pressure on the ears, eyes and nape. In addition, pain in the head may be accompanied by unpleasant sensations in the neck, spine. Also, its amplification occurs in bright light, loud sound or simply a change in the position of the human body.
If the spinal cord shells are mostly affected, the pain may not be so strong. It almost goes away after the person takes the loop duet.
Meningeal symptoms are characterized most oftenthe fact that the headache is accompanied by vomiting and nausea. Moreover, vomiting is not associated with eating. It arises suddenly. In addition to too much sensitivity to photo and sound stimulation, there is also pronounced hyperesthesia of the skin. Painful sensations can occur when palpation, stroking the shoulders, hips and abdomen. In some cases, such symptoms, especially in combination with vomiting and nausea, deceptively imitate the picture of the acute abdomen.
The most demonstrative of the objective symptoms of meningeal syndrome can be called: the lower and upper symptoms of Brudzinsky, the stiff neck muscles and the symptoms of Kerning.
Rigidity can be checked by putting a person onBack and bending his head with closed jaws. When the syndrome is present, the patient can not reach the chest with his chin. This is due to the fact that increased muscle tone in the extensor muscles of the head.
Meningeal symptoms may have varying degreesseverity: weak, in this case the patient is not enough to touch the chest just one or two centimeters. Moderate meningeal symptoms, when a patient's chin does not reach the sternum by 3-5 centimeters. With a pronounced symptom, the head does not come out of the vertical position at all and is thrown back.
It is necessary to distinguish between rigidity of muscles and radicularNeri's symptom. At the latter, it is either impossible to bend the head, or it is very difficult due to the fact that severe pain occurs. It should be noted that rigidity can be combined with Neri-symptom. In addition, difficulties with the bending of the head may be due to the fact that the cervical spine has begun to damage.
There are several degrees of severitymeningeal symptoms - from rather insignificant to sharply expressed. When the disease reached late, and no adequate treatment was performed, the patients take a characteristic posture: lying on their side, with their head tilted back and their legs pressed to the stomach. It is also called the pose of a dog.
The patient can determine all meningeal symptoms:
- complete syndrome;
- when there is no part of the characteristic symptoms;
- incomplete syndrome, which appears in viral serous meningitis.
There is still such a thing aspseudo-meningeal syndrome. It arises because of the causes that make it difficult or impossible to move in the neck, knees, thereby leading to the appearance of meningeal symptoms (Kernig symptom and neck stiffness).
Most often, it is due to the fact that muscle tone (parkinsonism), paratonia or orthopedic pathologies such as spondylarthrosis and spondylosis increases. There is always a strong pain syndrome.
