Understanding Meningitis and Brudzinski's Sign
Meningitis is a serious medical condition characterized by the inflammation of the protective membranes covering the brain and spinal cord, known as the meninges. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign, a clinical indicator that raises suspicion of the disease and aids in its diagnosis. What is Brudzinski's Sign? Brudzinski's sign is a physical exam finding suggestive of meningitis. It is elicited by flexing the patient's neck while they lie flat on their back. If passive flexion of the neck results in reflex flexion of the hips and knees, it constitutes a positive Brudzinski sign. The maneuver is performed by the examiner placing one hand behind the patient's head and the other on their chest to prevent them from rising. Reflexive flexion of the hips and knees following neck flexion indicates meningeal irritation. The Clinical Significance of Brudzinski's Sign Brudzinski's sign is particularly significant because it d...