Talyshinskiĭ A M
Vestn Otorinolaringol. 1990 Sep-Oct(5):48-52.
In 258 patients, neurological symptoms of otogenic leptomeningitis and diagnostic importance of the meningeal symptom-complex in the clinical development of other intracranial complications and sepsis were investigated. Otogenic leptomeningitis was characterized by the meningeal syndrome, rigidity of occipital muscles combined with Brudzinski's sign and Kernig's sign, albumin-cytologic dissociation in the cerebrospinal fluid, and, frequently, unilateral lesion of cranial nerves. Meningeal symptoms in the case of cerebrum and cerebellum abscesses did not always indicate leptomeningitis. Kernig's sign and its combination with occipital muscle rigidity can be an indication of cerebrum abscesses. With leptomeningitis and cerebrum abscesses, the rigidity of occipital muscles rarely occurs as a separate symptom, which emphasizes its importance in the topical diagnosis of subtentorial abscesses.
对258例患者的耳源性软脑膜炎的神经症状以及脑膜症状复合体在其他颅内并发症和败血症临床发展中的诊断重要性进行了研究。耳源性软脑膜炎的特征为脑膜综合征、枕肌强直合并布鲁津斯基征和凯尔尼格征、脑脊液中的蛋白细胞分离，且常伴有单侧颅神经病变。大脑和小脑脓肿病例中的脑膜症状并不总是提示软脑膜炎。凯尔尼格征及其与枕肌强直的组合可能提示大脑脓肿。在软脑膜炎和大脑脓肿时，枕肌强直很少作为单独症状出现，这突出了其在幕下脓肿局部诊断中的重要性。
