Nuchal Rigidity

Nuchal Rigidity

Nuchal rigidity is neck stiffness, and is usually synonymous with meningism, in which case other signs of meningeal irritation are usually present (Kernig’s sign, Brudzinski’s neck sign). If these other signs are absent, then isolated nuchal rigidity may suggest a foraminal pressure cone. It may also occur in syndromes causing predominantly axial (as opposed to limb) rigidity (e.g., progressive supranuclear palsy). In intubated patients, there may be resistance to passive neck movements.

Cross References

Brudzinski’s (neck) sign; Kernig’s sign; Meningism; Parkinsonism