3. Stiff Neck: The Telltale Marker of Meningitis
Neck stiffness or nuchal rigidity is a classic symptom of meningitis. The inflammation of the meninges causes this feature, leading to a reduced range of neck movements. The neck becomes rigid, and any attempt to flex it forward is met with resistance and significant discomfort.
This sign can be so prominent that patients often hold their heads tilted back and avoid looking down or bending their necks. In severe cases, the neck stiffness can extend to the back, leading to an overall rigid and arched posture known as opisthotonus.
Neck stiffness is a vital clue that healthcare professionals look for when suspecting meningitis. It’s an indication that the meninges, the protective sheath covering the brain and spinal cord, are inflamed, reinforcing the importance of immediate medical investigation and treatment.
The rigidity of the neck associated with meningitis, unlike ordinary neck stiffness or muscle strain, is often unresponsive to typical painkillers or muscle relaxants. This resistance underlines the critical nature of the symptom and the urgent need for medical attention. (3)
