title: Neck pain and headache in an afebrile 15-year-old.
abstract: Nuchal rigidity and headache are important signs of bacterial meningitis, although, in the absence of fever other etiologies would be considered. An evaluation of a 15-year-old boy with the above features, focal neurological deficits, and two cerebral contrast enhancing ring lesions is discussed.
authors.affiliation: Department of Neurology and Pediatrics, West Virginia University Health Sciences Center, Morgantown 26506-9180, USA.
authors.forename: R D
authors.initials: RD
authors.lastname: Sheth
authors.forename: C
authors.initials: C
authors.lastname: Pushpanathan
mesh_terms: D000293:Adolescent; D001253:Astrocytes / Q000648:ultrastructure; D002540:Cerebral Cortex / Q000473:pathology*; D006261:Headache / Q000473:pathology*; D006801:Humans; D008297:Male; D008580:Meningism / Q000473:pathology*; D019547:Neck Pain / Q000473:pathology*