Meningism
| Classification according to ICD-10 | |
|---|---|
| R29.1 | Meningism |
| ICD-10 online (WHO version 2019) | |
As meningism (formerly epidemic cerebrospinal meningitis and transferable stiff neck ) is in irritation and diseases of the symptom of painful stiffness of the neck ( "stiff neck") meninges called. It is a reflex tension of the neck muscles as a reaction to the pain, when deeply unconscious ( coma ) it dissolves again. A meningeal irritation syndrome (also called meningeal syndrome and meningitis syndrome ) also includes nausea and vomiting as well as sensitivity to light and noise (photo / phonophobia).
The following clinical signs are also typically positive in meningism:
Diseases
Typical diseases with meningism are:
- Meningitis (inflammation of the meninges)
- Subarachnoid hemorrhage
- Meningiosis carcinomatosa
- Septicopyemia
- Sunstroke
- Pneumococcal pneumonia , (possibly somnolence & meningism)
- Sinus thrombosis
Differential diagnosis
Painful neck stiffness can also be caused by non-meningeal causes; it is then referred to more neutrally as neck flexion pain . For differential diagnosis, the following are possible:
- Herniated disc in the cervical spine
- Osteoarthritis of the cervical joints
- migraine
- Fractures of the cervical vertebrae
- tumor
- Rigor
- Tonsillar angina
Individual evidence
- ↑ A. Müller, RW Schlecht, Alexander Früh, H. Still The way to health: A faithful and indispensable guide for the healthy and the sick. 2 volumes, (1901; 3rd edition 1906, 9th edition 1921) 31st to 44th edition. CA Weller, Berlin 1929 to 1931, Volume 2 (1929), pp. 45-48 ( Die epidemische Rigid Neck ).
- ↑ Karl Wurm, AM Walter: Infectious Diseases. In: Ludwig Heilmeyer (ed.): Textbook of internal medicine. Springer-Verlag, Berlin / Göttingen / Heidelberg 1955; 2nd edition ibid. 1961, pp. 9-223, here: pp. 177-180 ( Meningitis cerebrospinalis epidemica ).
- ↑ Karl Wurm, AM Walter: Infectious Diseases. 1961, p. 183 f. ( Meningism and meningitis syndrome ).
