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Dynamic Neck Stiffness: A new and interesting sign of idiopathic intracranial hypotension

Author: 
Dr. Thomas Mathew, Dr. Sagar Badachi and Ms. Manjusha, T.
Subject Area: 
Health Sciences
Abstract: 

Elicitation of neck stiffness is one of the most important clinical signs in neurology. It is the inability to flex the neck forward due to rigidity of the neck muscles. It is a sign of irritation of the meninges, such as seen in meningitis, subarachnoid hemorrhage and various other diseases. Nuchal rigidity occurs in 30 % of meningitis in adults and does not have postural variation and is accompanied by positive Kernig’s sign, positive Brudzinski's sign. Here we report a case of secondary headache due to idiopathic intracranial hypotension with neck stiffness having postural variation(dynamic neck stiffness) which has never been described previously.

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