Meningism is the triad of nuchal rigidity, photophobia (intolerance of bright light) and headache. It is a sign of irritation of the meninges, such as seen in meningitis, subarachnoid hemorrhage and various other diseases. For the pathologic fear of light see the article on -phobia Photophobia is a symptom of excessive sensitivity to light and the aversion to bright light. ... A headache is a condition of mild to severe pain in the head; sometimes upper back or neck pain may also be interpreted as a headache. ... In medicine, a sign is a feature of disease as detected by the doctor. ... The meninges (singular meninx) are the system of membranes that contain the brain. ... Meningitis is inflammation of the membranes (meninges) covering the brain and the spinal cord. ... A subarachnoid hemorrhage (SAH) is bleeding into the subarachnoid space surrounding the brain, i. ...
Nuchal rigidity is the inability to flex the head forward due to rigidity of the neck muscles. Brudzinski's sign is involuntary lifting of the legs in meningeal irritation when lifting a patient's head. For other uses of the word head, see head (disambiguation). ...
Cerebritis with the subsequent development of an intraparenchymal abscess would have been more likely to be present in the traumatized area more posteriorly in the left hemisphere where the proposed contrecoup injury occurred.
It is also possible that the King had an associated subdural hematoma as suggested by the aforementioned authors; one could also add to the differential diagnosis the possibility of a subdural empyema because this process would have explained the fever, meningismus, herniplegia, and seizures and could still be reconciled with the autopsy findings.
Even in the face of this diagnosis, there were serious reservations against a favorable prognosis for the King's recovery, even if he had undergone trephination.
Kava may cause sedation and affect electroconvulsive therapy (ECT) outcome.
It has also been associated with meningismus, acute urinary retention, skin lesions, mood elevation, enhanced or decreased cognitive performance, anorexia, sleeplessness, palpitations, paresthesia, headache, vomiting,and dangerously high blood pressure.
Use of kava cannot be recommended during pregnancy or breastfeeding.
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