Менингеальный симптомокомплекс: вопросы клинической дифференциации

Evaluation of efficacy rate of diagnosis of meningeal symptom complex (MSC) was based on the assessment of 300 case histories ofpatients who were treated in the infectious clinic. One of their final diagnoses was to comprise clinical signs of the MSC, i.e. meningitis, meningoencephalitis, encephalitis, meningism, meningeal syndrome, etc. Basic drawbacks and errors in diagnosis ofthe MSC in the pre-hospitalization stage included hyperdiagnosis of the MSC and hypodiagnosis of general somatic pathology. They were caused by incomplete taking of neurological history, incompetent evaluation of neurological status, lack of consultations by neuropathologists as well as low self-descriptiveness of general clinical studies applied in differentiation of transitional forms (i.e. meningism-meningitis, meningitis-meningoencephalitis, encephalitis-encephalopathy etc.).