Brudziński's sign or a Brudziński sign is any of three medical signs, all of which may occur in meningitis or meningism. All three are named after Józef Brudziński.[1] In English, the name is often written without the diacritic (like many borrowed words) (Brudzinski) and is pronounced /bruːˈdʒɪnski/.
The Brudziński cheek sign or Brudziński's cheek phenomenon is a clinical sign in which pressure on the cheek elicits a reflex action, usually a twitching of the area near the eye or upper lip, and flexion of the forearm when pressure is applied to upper arm with a sphygmomanometer. It is found in patients with meningitis, and is analogous to the Brudziński symphyseal sign in the lower limb.[2][1]
Brudziński symphyseal sign
The Brudziński symphyseal sign is a clinical sign in which pressure on the pubic symphysis elicits a reflex flexion of the hip and knee, and abduction of the leg. It is found in patients with meningitis, and is analogous to the Brudziński cheek sign in the upper limb.[2][1]
This sign was also independently discovered by a Brazilian clinician, Aloísio De Castro (1881-1959), in 1912, and is commonly called as the Aloísio De Castro's Sign in Brazil.[3]
The pain felt on Kernig's sign is due to meningeal irritation caused by movement of the spinal cord within the meninges.[4] In the Brudzinski's neck sign, this movement with neck flexion is cancelled out by the flexion of the hip; much like two persons pulling on either side of a single rope.[1]
^ abcdeWard MA, Greenwood TM, Kumar DR, Mazza JJ, Yale SH (March 2010). "Josef Brudzinski and Vladimir Mikhailovich Kernig: signs for diagnosing meningitis". Clinical Medicine & Research. 8 (1): 13–7. doi:10.3121/cmr.2010.862. PMC2842389. PMID 20305144.
^ abcBrudziński, Józef (1908). "Ueber die Kontralateralen Reflexe an den Unteren Extremitaeten bei Kindern" [A New Sign of the Lower Extremities in Meningitis of Children]. Wien Klin Wochenschr. 21: 255–61.
^"Aloysio de Castro - NeglectedScience". www.neglectedscience.com. Retrieved 2018-03-09.
^Thomas KE, Hasbun R, Jekel J, Quagliarello VJ (July 2002). "The diagnostic accuracy of Kernig's sign, Brudzinski's sign, and nuchal rigidity in adults with suspected meningitis". Clinical Infectious Diseases. 35 (1): 46–52. doi:10.1086/340979. PMID 12060874.
brudziński, sign, brudziński, sign, three, medical, signs, which, occur, meningitis, meningism, three, named, after, józef, brudziński, english, name, often, written, without, diacritic, like, many, borrowed, words, brudzinski, pronounced, differential, diagno. Brudzinski s sign or a Brudzinski sign is any of three medical signs all of which may occur in meningitis or meningism All three are named after Jozef Brudzinski 1 In English the name is often written without the diacritic like many borrowed words Brudzinski and is pronounced b r uː ˈ dʒ ɪ n s k i Brudzinski s signDifferential diagnosisMeningitis Meningism Contents 1 Brudzinski cheek sign 2 Brudzinski symphyseal sign 3 Brudzinski neck sign 3 1 Pathophysiology 4 See also 5 References 6 External linksBrudzinski cheek sign EditThe Brudzinski cheek sign or Brudzinski s cheek phenomenon is a clinical sign in which pressure on the cheek elicits a reflex action usually a twitching of the area near the eye or upper lip and flexion of the forearm when pressure is applied to upper arm with a sphygmomanometer It is found in patients with meningitis and is analogous to the Brudzinski symphyseal sign in the lower limb 2 1 Brudzinski symphyseal sign EditThe Brudzinski symphyseal sign is a clinical sign in which pressure on the pubic symphysis elicits a reflex flexion of the hip and knee and abduction of the leg It is found in patients with meningitis and is analogous to the Brudzinski cheek sign in the upper limb 2 1 This sign was also independently discovered by a Brazilian clinician Aloisio De Castro 1881 1959 in 1912 and is commonly called as the Aloisio De Castro s Sign in Brazil 3 Brudzinski neck sign EditThe Brudzinski neck sign or Brudzinski s symptom is a clinical sign in which forced flexion of the neck elicits a reflex flexion of the hips It is found in patients with meningitis 2 1 subarachnoid haemorrhage and possibly encephalitis It is not very commonly seen Pathophysiology Edit The pain felt on Kernig s sign is due to meningeal irritation caused by movement of the spinal cord within the meninges 4 In the Brudzinski s neck sign this movement with neck flexion is cancelled out by the flexion of the hip much like two persons pulling on either side of a single rope 1 See also EditMeningism Kernig s signReferences Edit a b c d e Ward MA Greenwood TM Kumar DR Mazza JJ Yale SH March 2010 Josef Brudzinski and Vladimir Mikhailovich Kernig signs for diagnosing meningitis Clinical Medicine amp Research 8 1 13 7 doi 10 3121 cmr 2010 862 PMC 2842389 PMID 20305144 a b c Brudzinski Jozef 1908 Ueber die Kontralateralen Reflexe an den Unteren Extremitaeten bei Kindern A New Sign of the Lower Extremities in Meningitis of Children Wien Klin Wochenschr 21 255 61 Aloysio de Castro NeglectedScience www neglectedscience com Retrieved 2018 03 09 Thomas KE Hasbun R Jekel J Quagliarello VJ July 2002 The diagnostic accuracy of Kernig s sign Brudzinski s sign and nuchal rigidity in adults with suspected meningitis Clinical Infectious Diseases 35 1 46 52 doi 10 1086 340979 PMID 12060874 External links EditBrudzinski s cheek phenomenon at Who Named It Brudzinski s symphyseal sign at Who Named It Brudzinski s neck sign at Who Named It Retrieved from https en wikipedia org w index php title Brudzinski 27s sign amp oldid 1123573116, wikipedia, wiki, book, books, library,
