Attenuation of Kernig's sign by concomitant hemiparesis: forgotten aspects of a well known clinical test

Krasnianski, M.; Tacik, Paweł; Müller, Tobias; Zierz, Stephan

doi:10.1136/jnnp.2007.127837

Cited by 4 publications

(2 citation statements)

References 2 publications

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“…She had supple neck and negative Kernig’s sign. 8 On neurological assessment, muscle power was 3/5 and 2/5 in the right upper and lower limbs, respectively. Tone and deep tendon reflexes were reduced with flexor plantar response.…”

Section: Case Presentationmentioning

confidence: 98%

An unusual stroke mimic: A case report

Adjei,

Amponsah,

Atenebano

2023

SAGE Open Medical Case Reports

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Hypokalaemic paralysis is a rare disorder characterized by rapid onset of symmetrical flaccid skeletal muscle weakness in the presence of reduced serum potassium levels. It is categorized as primary or secondary depending on the aetiology. Asymmetric or unilateral muscle weakness in hypokalaemic patients is a rare presentation. In patients with comorbid cardiovascular risk factors, this atypical manifestation can mimic acute stroke. Only a few of such cases have been reported in the literature. This report discusses the case of a 46-year-old hypertensive Ghanaian woman who presented to a District Hospital with sudden-onset right-sided flaccid weakness and a high blood pressure. Acute stroke was ruled out with computed tomography scan of the brain. Further laboratory evaluation demonstrated reduced serum potassium level, which was corrected with subsequent dramatic resolution of the muscle weakness.

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Section: Case Presentationmentioning

confidence: 98%

An unusual stroke mimic: A case report

Adjei,

Amponsah,

Atenebano

2023

SAGE Open Medical Case Reports

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“…Beim Meningismus treten pathologische Phänomene i. d. R. beidseitig auf, während beispielsweise eine lumbale radikuläre Läsion nur einseitig auf der betroffenen Seite erkennbar wird. Eine deutliche Asymmetrie bei der Prüfung des Kernig-Zeichens kann auf eine begleitende Hemiparese hindeuten, wobei das Kernig-Zeichen auf der von einer Hemiparese betroffenen Seite schwächer ausgeprägt sein soll [7,8].…”

Section: Klinische Untersuchung Des Meningismusunclassified

Meningismus

Topka

2018

Fortschr Neurol Psychiatr

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A thorough neurological examination in emergency situations requires the evaluation of meningeal signs. Even though in most settings, evaluation of meningism is technically not very demanding, the interpretation of findings may prove difficult. As opposed to a widely held belief, clinical signs of meningism are neither specific nor highly sensitive for detection of meningitis or subarachnoid hemorrhage. A meaningful evaluation of meningeal signs, therefore, requires careful consideration of both clinical findings and other accessory symptoms.

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Meninges

McGee

2018

Evidence-Based Physical Diagnosis

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Attenuation of Kernig's sign by concomitant hemiparesis: forgotten aspects of a well known clinical test

Cited by 4 publications

References 2 publications

An unusual stroke mimic: A case report

An unusual stroke mimic: A case report

Meningismus

Meninges

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