How to Recognize Kernig’s Sign?
The Brudzinski test is a very useful tool when it comes to recognizing the signs of kernig syndrome. There are two types of brudzinski’s signs. One type consists in the presence of three or four fingers with one hand, while the other type consists in the absence of any fingers at all on both hands. These signs are called brudzinski’s signs. Kernig syndrome is characterized by the presence of these two types of brudzinski’s signs.
What do you think if I tell you that there are different kinds of brudzinski’s signs? What does it mean to have three or four fingers with one hand? Is it possible that they could be caused by something else than kernig syndrome?
Or maybe not.
So what kind of questions would you like me to answer today?
I will give you some examples. Let us say that you were walking along and suddenly felt a pain in your back. You immediately went to see a doctor because you thought that it was probably caused by a broken bone. But the doctor told you that it wasn’t really broken, but rather just bruised.
And then he asked you if there was anything wrong with your back, and if so what did it hurt? If yes, how bad was it? Were you able to move, and if so, how much? And did you feel tingling or numbness anywhere else?
These are the questions that you would most likely be asked. However, let us say that your back hurt so badly that you could barely move without feeling pain. You were also unable to bend over without having a hard time breathing. In this situation, it is likely that the doctor would suspect broken ribs, and would proceed to check for kernig’s sign.
In order to check for kernig’s sign, one might proceed in three different ways. The first consists in having the person bend his or her legs toward the chest while keeping the back flat on a table. Then, one should try to touch the toes as much as possible. If it is impossible to reach them, that is considered a positive kernig sign. Another way of checking for this sign consists in lying down on one’s back while keeping the legs straight up.
Then, the doctor will try to bend both legs toward the chest at the same time. The other way of checking for this sign consists in having the person lie down on his or her back and then slowly turn onto one side. If that movement causes pain in the lower half of the body, that is considered a positive kernig sign.
There are also other signs that could indicate kernig’s syndrome. One of these is called plegia. It is a condition where the lower muscles become paralyzed or weaken. This happens because of spinal cord injuries which cause harm to the nerves that allow for movement. One could also suffer from ataxia, a condition where muscular coordination is lost.
Another common sign of kernig’s syndrome is spasticity, which is a condition where the muscles become rigid and uncontrollable. The person might experience periods of extreme muscle tension, twitching or spasms.
There are many other signs that could indicate kernig’s syndrome. These include pain, restlessness or difficulty breathing. If these occur, one should seek medical attention immediately. If you are experiencing serious back pain, it is a good idea to see a doctor just to be on the safe side. Always remember to get a check-up if you are not sure whether you need one or not.
In conclusion, kernig’s syndrome is a condition which causes back pain and other signs. It is caused by damage to the nerves in one’s back. The signs of this condition typically disappear on their own, and it is possible to recover completely from it. In most cases, it is only temporary. If you are experiencing any of these signs, it is a good idea to see a doctor just to be safe.
And if you are in doubt, it is always best to get a medical check-up.
Created by: Stephen
Sources & references used in this article:
Kernig’s and Brudzinski’s signs revisited by A Verghese, G Gallemore – Reviews of infectious diseases, 1987 – academic.oup.com
SPONTANEOUS SPINAL SUBARACHNOID HAEMORRHAGE1 by RA Henson, PB Croft – QJM: An International Journal of …, 1956 – academic.oup.com
The clinical signs of meningeal irritation by JEA O’CONNELL – Brain, 1946 – academic.oup.com
Central nervous system in acute disseminate lupus erythematosus by D Daly – The Journal of nervous and mental disease, 1945 – journals.lww.com