Meningeal Signs – It’s Validity in Suspected Meningitis

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Background: Meningitis, an inflammation of meninges, a common medical emergency. Meningeal signs like Kernig’s sign, Brudzinski’s sign, and neck rigidity are used specifically to assess a patient’s with suspected meningitis. However, these signs are not pathognomonic for meningitis. The aim of study is to validate the meningeal signs in 75 adults with suspected meningitis. Methods: Seventy-five patients admitted to our tertiary hospital with suspected meningitis were selected and divided into two groups: Patients with meningitis (n=62) and Patients without meningitis (n=13). Meningitis was considered to be present if the CSF WBC count was ≥ 6/cmm. The three meningeal signs Kernig’s sign, Brudzinski’s sign and nuchal rigidity noted in each patient prior to lumber puncture. The sensitivity, specificity and P-value calculated. Results: Demography and clinical presentation of patients with meningitis (n=62) were similar to those without meningitis (n=13)


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