脑膜刺激征

结果突发的头痛、呕吐、脑膜刺激征、眼底改变为SAH的最早期的临床表现；

Results Acute headache , vomit , meningeal irritation sign , the change of eyeground were the useful early clinical manifestation .

目的探讨颅内感染（ICI）患者脑膜刺激征（MIS）阴性的相关因素及其机理和临床意义。

Objective To explore the associated factors , its mechanism and clinical significance of negative meningeal irritation sign ( MIS ) in patients with the intracranial infection ( ICI ) .

CM的临床表现多种多样，如：头痛、发热、恶心呕吐、脑膜刺激征、锥体束征、精神症状及癫癎等。

Various symptoms , such as headache , fever , nausea and vomiting ; meningeal irritation sign , pyramidal sign , psychiatric symptom , and epileptic seizure are the common clinical manifestations of CM .

早期未出现脑膜刺激征的脑膜炎5例分析

Analysis of Five Early Meningitis Cases without Sign of Meningeal Stimulation

结果既有脑症状，又有脑膜刺激征者6例；

Results Of them , 6 cases had brain symptoms and meningeal irritation .

结果新型隐球菌脑膜炎的临床表现以颅内压增高、脑膜刺激征为主。

Results The main clinical manifestations included intracranial hypertension and signs of meningeal irritation .

临床主要表现为颅内高压、脑膜刺激征、颅神经损害等症状。

Clinical findings showed chiefly intracranial hypertension , signs of meningeal irritation and cranial nerve lesions .

临床上以突发头痛、脑膜刺激征阳性及常伴低钠血症为其特征。

Abrupt headache , meningismus and hyponatremia were the most typical clinical features in this group .

有的还出现急性无菌性脑膜炎，表现头痛、神经症状和脑膜刺激征。

Some even acute aseptic meningitis , the performance of headache , neurological symptoms and meningeal irritation .

神经系统检查发现有脑膜刺激征、颅内压增高以及脑脊髓并候群症以及脑脊液淀粉酶增高。

Patients with PE also had symptoms of meningeal irritation signs , increased intracranial pressure and increased amylase in cerebrospinal fluid .

结果本组临床表现为头痛、背痛31例，脑神经损害18例，脑膜刺激征25例。

Results 31 cases appeared headache or notalgia , 18 cases had cranial nerve lesions , 25 cases showed meningeal irritation sign .

青少年患者如出现头痛、发热症状，即使没有脑膜刺激征，也应警惕病毒性脑（膜）炎可能性。

If the young patients have symptoms of headache and fever , it should be alert to the virus even without meningeal irritation . 4 .

其中以脑膜刺激征最常见，故极易与脑膜炎相混淆而误诊，又称癌性脑膜炎。

Of course , the signs of meningeal irritation are the most common clinical manifestation . MC also called carcinomatous meningitis because of it usually confused with meningitis .

结果本组79例中，头痛56例，呕吐46例，脑膜刺激征51例，意识障碍24例。

Results Among the 79 cases , 56 cases with headaches , 46 cases with vomits , 51 cases with irritative symptoms of meninges , 24 cases with disturbances of consciousness .

结果首发症状多以头痛、呕吐为主，亦可有视觉障碍、复视、眼睑闭合无力、口角歪斜以及发作性上背部疼痛，可伴脑神经和脊神经损害及脑膜刺激征；

Results Most of the onset symptoms of these meningeal carcinomatosis were headache , vomiting also including visual disturbances , diplopia , weakness in closing eyelids , deviation of mouth angle and paroxysmal upper back pain ;

结论意识状态改变、瞳孔变化、脑膜刺激征（+）、血糖升高、肺部感染、消化道出血、急性脑积水是脑出血破入脑室预后不良的指征。

Conclusion Conscious state change , pupil change , meningeal irritation sign ( + ), risen blood sugar , pulmonary infection , alimentary tract hemorrhage and acute hydrocephalus are the prognosis mala indications of cerebral hemorrhage broken to cerebral ventricle .

结果81.25%的患者卒中前无垂体瘤病史，大部分无明确诱因，临床表现按出现频率依次为头痛、视力障碍、眼肌麻痹、脑膜刺激征、偏盲、意识障碍及锥体束征；

Results 81.25 % patients had no history of pituitary adenoma previously . Most of them had unknown causes , who were characterized of headache , visual loss , ophthalmoplegia , meningeal irritation , hemianopia , mental disorder and pyramid sign .

结果患者起病时的意识状态改变、瞳孔变化、脑膜刺激征（+）等临床表现及并发高血糖、肺部感染、消化道出血、急性脑积水等并发症提示预后不良。

Results The clinical situations onste such as conscious state change , pupil change and meningeal irritation sign ( + ) and the complications such as risen blood sugar , pulmonary infection , alimentary tract hemorrhage and acute hydrocephalus pointed out prognosis mala .

以急性起病多见（71.43%），首发症状以头痛、发热为多数（占73.81%），其中有夜间头痛者占95.24%，所有患者脑膜刺激征均为阳性。

Sudden onset accounted for 71.43 % of the total cases . The initial syndrome of most patients were headaches and fever ( amount to 73.81 % of the total patients ), and 95.24 % of them were nocturnal headaches . All of the patients meningeal irritation sign were positive .

结果：12例脑膜癌病临床表现多样，主要表现为颅内高压和脑膜刺激征。

Results : The 12 patients manifested themselves clinically in various manner with intracranial hypertension and meningeal irritation sign .