Eng / Meningeal syndrome

GENERAL SYMPTOMS

•Appetite disappears, nausea occurs, vomiting does not bring relief to the patient.

•Violation of consciousness, up to its absence

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Change of consciousness

change in the period of excitation at the onset of the disease

stunning

stupor and coma

convulsive syndrome

In 30-40% of cases, on the first day from the onset of the disease, the development of seizures is noted, which can be

short-term and have the character of febrile

and long-term with the development of convulsive status in the structure of the convulsive-coma syndrome against the background of increasing cerebral edema (CSE)

Actually meningeal syndrome

Change in muscle tone

Change in tendon reflexes

Pain at the exit of the cranial nerves

Increasing all kinds of sensitivity

Increasing all kinds of sensitivity

hyperesthesia to all kinds of external stimuli:

photophobia hyperacusis hyperosmia hyperesthesia

meningeal symptoms

Objective neurological disorders -

Change in muscle tone

peculiar position of the patient in bed

various meningeal symptoms.

Change in muscle tone

Typical posture:

the patient usually lies on his side with his head thrown back and an elongated torso, with a retracted "navicular" abdomen, bent at the elbows and pressed to his chest, with his hips and knees bent and legs pressed to his stomach (meningeal posture, "pose of a pointing dog" , cocked pose).

The main, most constant and informative signs of irritation of the meninges are

neck stiffness Kernig's sign.

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meningeal symptoms

 neck stiffness - the inability to bring the patient's head to the chest due to a sharp tension in the extensor muscles of the neck