2025年2月4日 · The Brudzinski sign is often performed with the Kernig sign. To elicit the Kernig sign, a leg is raised with the knee flexed to a 90-degree angle. Resistance, pain, or inability to extend the knee indicates a positive Kernig sign.

2022年12月20日 · While a positive Kernig’s sign alone does not guarantee a meningitis diagnosis, it, along with a positive Brudzinski’s sign, increases the likelihood of a meningitis diagnosis. This article talks about what Kernig’s sign means, how it works, and why it is a significant clinical tool.

Kernig's sign, Brudzinski's sign, and nuchal rigidity are bedside diagnostic signs used to evaluate suspected cases of meningitis. The presence of meningeal irritation, however, is not pathognomonic for meningitis.

Josef Brudzinski (1874-1917), a Polish pediatrician, 1 claimed that his neck sign for meningitis was present in a higher percentage of cases than Kernig's sign, which had been described earlier for the same condition. 2,3 The usefulness of Brudzinski's test has been well documented by later observers, but its superiority to Kernig's sign has ...

Although both Kernig’s and Brudzinski’s signs have low sensitivity but high specificity for diagnosis of bacterial meningitis, they have contributed to the construction of scoring algorithms incorporating meningeal signs and symptoms, working toward a standard of care to determine the need for lumbar puncture and empiric antibiotic therapy.

2016年4月27日 · The utility of using the Kernig and Brudzinski signs to identify patients likely to have meningitis has long been debated. Both of these signs are indicators of meningeal inflammation, but neither are pathognomonic for meningitis [ 9 ].

2023年5月1日 · Two of the most commonly used are Kernig's and Brudzinski's signs. The original report of Brudzinski's sign was in the late 1800s by Dr. Josef Brudzinski. At that time, he described four maneuvers to aid in the clinical diagnosis of meningitis.

Both Kernig and Brudzinski signs were poorly sensitive but highly specific in detecting pleocytosis and moderate pleocytosis. The low sensitivity resulted in likelihood ratios suggestive that Kernig and Brudzinski signs are ultimately unhelpful in increasing clinical suspicion for meningitis.

Kernig's sign is described in physical diagnosis texts; however, the test for Kernig's sign as currently performed differs from Kernig's original description. Brudzinski described several signs of meningitis; his "nape of the neck" sign is the best known.

To determine the diagnostic accuracy of Kernig’s sign, Brudzinski’s sign, and nuchal rigidity for meningitis, 297 adults with suspected meningitis were prospectively evaluated for the presence of these meningeal signs before lumbar puncture was done.