As meningism (also: meningeal syndrome) the symptom of painful stiffness of the neck is called in irritation and diseases of the meninges. He is a reflex tension of the neck muscles in response to pain, in total unconsciousness ( coma ), it dissolves again. At a meningeal irritation syndrome also include nausea and vomiting until light and noise sensitivity (photo / phonophobia ).

Following clinical signs are typically the Meningism also positive:

  • Brudzinski sign
  • Kernig's sign
  • Lasègue characters


Typical diseases with meningism are:

  • Meningitis ( meningitis )
  • Subarachnoid hemorrhage
  • Carcinomatous meningitis
  • Septicopyemia
  • Sunstroke
  • Pneumococcal pneumonia (possibly somnolence & meningism )
  • Sinus thrombosis

Differential Diagnosis

Painful stiffness of the neck can also be caused by non- meningeal causes, they will be more neutral than " neck flexor pain " means. For differential diagnosis are:

  • Herniated disc in the cervical spine
  • Arthrosis in the cervical vertebral joints
  • Migraine
  • Fractures of the cervical vertebrae
  • Tumor
  • Rigor
  • Tonsillitis
  • Disease in neurology
  • Disease symptom in neurology
  • Meninges as Topic