[8] The initial assessment of coma is best carried out when the presence of three major neurological signs are considered: meningism, lateralizing signs and focal brainstem dysfunction (Table 1).

On admission, he was afebrile with blood pressure of 120/75. He had no focal neurological deficit and no meningism. Cerebrospinal fluid (CSF) examination was normal: microscopy, Gram and Zeihl ...

Neurological examination was remarkable for marked meningism and pain on percussion of the roof of the skull. Laboratory tests showed significantly elevated inflammatory parameters (CRP ...

The facial paresis had become bilateral, and the patient had a headache and clear meningism. The cortisone had led to an “explosion” of neuroborreliosis, and the patient was admitted to ...