[Association between aseptic meningitis and jolt accentuation of headache in adults].
Acute Disease
Adolescent
Adult
Age Factors
C-Reactive Protein
Cerebrospinal Fluid
/ cytology
Child
Child, Preschool
Female
Headache
/ diagnosis
Humans
Leukocytosis
Logistic Models
Male
Meningitis, Aseptic
/ complications
Middle Aged
Retrospective Studies
Sensitivity and Specificity
Time Factors
Young Adult
aseptic meningitis
jolt accentuation of headache
meningeal irritation
Journal
Rinsho shinkeigaku = Clinical neurology
ISSN: 1882-0654
Titre abrégé: Rinsho Shinkeigaku
Pays: Japan
ID NLM: 0417466
Informations de publication
Date de publication:
25 Sep 2019
25 Sep 2019
Historique:
pubmed:
3
9
2019
medline:
1
2
2020
entrez:
3
9
2019
Statut:
ppublish
Résumé
The purpose of this study was to elucidate the association between aseptic meningitis and jolt accentuation of headache (JAH) in adults. 87 patients with meningeal irritation (age; 35.6 ± 13.3 years old, 45 males) who were admitted to our hospital from 1st August 2013 to 31st August 2018 were included. The diagnosis was determined according to the following criteria:, aseptic meningitis was defined as cerebrospinal fluids (CSF) pleocytosis with no evidence of bacterial infection, fungal infection or carcinomatous findings; meningism was defined as the absence of CSF pleocytosis. None of these patients had consciousness disturbance and focal neurological abnormalities. The blood and CSF data were reviewed for analysis. 61 patients were in aseptic meningitis group, 26 patients were in meningism group. Multiple logistic regression analysis showed older age (OR 1.059, 95% Confidence interval (CI) 1.012-1.108, P = 0.013), lower CRP (OR 0.803, 95%CI 0.697-0.925, P = 0.002) and absence of JAH (OR 0.048, 95%CI 0.004-0.554, P = 0.015) were significantly associated with aseptic meningitis. The sensitivity and specificity of JAH in aseptic meningitis were 68.9%, 3.8%.
Sections du résumé
BACKGROUND AND PURPOSE
OBJECTIVE
The purpose of this study was to elucidate the association between aseptic meningitis and jolt accentuation of headache (JAH) in adults.
SUBJECTS AND METHOD
METHODS
87 patients with meningeal irritation (age; 35.6 ± 13.3 years old, 45 males) who were admitted to our hospital from 1st August 2013 to 31st August 2018 were included. The diagnosis was determined according to the following criteria:, aseptic meningitis was defined as cerebrospinal fluids (CSF) pleocytosis with no evidence of bacterial infection, fungal infection or carcinomatous findings; meningism was defined as the absence of CSF pleocytosis. None of these patients had consciousness disturbance and focal neurological abnormalities. The blood and CSF data were reviewed for analysis.
RESULTS
RESULTS
61 patients were in aseptic meningitis group, 26 patients were in meningism group. Multiple logistic regression analysis showed older age (OR 1.059, 95% Confidence interval (CI) 1.012-1.108, P = 0.013), lower CRP (OR 0.803, 95%CI 0.697-0.925, P = 0.002) and absence of JAH (OR 0.048, 95%CI 0.004-0.554, P = 0.015) were significantly associated with aseptic meningitis. The sensitivity and specificity of JAH in aseptic meningitis were 68.9%, 3.8%.
Identifiants
pubmed: 31474640
doi: 10.5692/clinicalneurol.cn-001285
doi:
Substances chimiques
C-Reactive Protein
9007-41-4
Types de publication
Journal Article
Langues
jpn
Sous-ensembles de citation
IM