Jamils sign
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Jamil sign clinical medicine eponym
Jamil's Sign
Jamil's sign is a recently described physical examination sign for meningitis, first reported in 2022 by Jamil S, Raza SS, Khan S, and Jamil M in the Journal of Ayub Medical College Abbottabad.
What It Is
Jamil's sign is a test for meningeal irritation / neck stiffness, performed with the patient in the lateral decubitus position (lying on their side) rather than the traditional supine position used for Kernig's and Brudzinski's signs.
How to Elicit It
- Place the patient in the lateral decubitus position
- The examiner supports the patient's head - one hand under the occiput and the other under the chin
- The examiner fully extends the neck, then fully flexes the neck (rocking the head backward and forward through a complete range of motion)
- The examiner assesses neck muscle tone and resistance throughout the movement
Interpretation
- Positive: Notable resistance, rigidity, or abrupt stiffness felt on either extension or flexion - indicates meningeal irritation
- Negative: Neck moves freely (supple) with no increased tone
Clinical Significance
- Used as a bedside sign to detect meningitis
- The lateral decubitus positioning is the key distinguishing feature, as it may allow detection of subtle neck stiffness that could be missed in the supine position
- It joins the classical signs of meningitis such as Kernig's sign, Brudzinski's sign, and the jolt accentuation test
The sign was named after its describer and is covered in a 2025 review article titled "From Brudzinski to Jamil: Unveiling Classical and Emerging Clinical Signs of Meningitis" published in Cureus.
Does any paper published on it in India
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Jamil sign meningitis
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Jamil sign meningitis India Indian journal publication
Based on a thorough PubMed and web search, no Indian publication specifically on Jamil's sign has been indexed so far.
Here is what the evidence shows:
Papers found on PubMed (total: 3)
| PMID | Title | Journal | Country |
|---|---|---|---|
| 35466637 | A New Clinical Sign In Meningitis - Jamil's Sign (original paper) | J Ayub Med Coll Abbottabad | Pakistan |
| 41141093 | From Brudzinski to Jamil: Unveiling Classical and Emerging Clinical Signs of Meningitis | Cureus | International (review) |
| 26752890 | Scrub typhus meningoencephalitis (unrelated - just an author named "Jamil MD") | J Neurosci Rural Pract | India - but this is NOT about Jamil's sign |
Key points:
- The original sign was described by Shahid Jamil, a Professor from Khyber Medical College, Peshawar - a Pakistani institution.
- The 2025 Cureus review paper (PMID 41141093) citing and discussing Jamil's sign has international authorship but is not India-specific.
- No Indian journal article validating, replicating, or studying Jamil's sign has been published on PubMed as of now.
Since the sign was only described in 2022, it is still very new. Indian researchers may publish validation studies in the future, but as of June 2026, no such paper from India exists in the indexed literature.
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