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Association between aseptic meningitis and jolt accentuation of headache in adults
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- Kuzume Daisuke
- Department of Neurology, Chikamori Hospital
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- Morimoto Yuko
- Department of Neurology, Chikamori Hospital
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- Kinboshi Masato
- Department of Neurology, Chikamori Hospital
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- Yoshida Takeshi
- Department of Reumatology, Chikamori Hospital
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- Yamasaki Masahiro
- Department of Neurology, Chikamori Hospital
Bibliographic Information
- Other Title
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- 無菌性髄膜炎におけるjolt accentuation of headacheの意義
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Description
<p>Background and Purpose: The purpose of this study was to elucidate the association between aseptic meningitis and jolt accentuation of headache (JAH) in adults. Subjects and Method: 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: 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%.</p>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 59 (9), 596-599, 2019
Societas Neurologica Japonica