INTRODUCTION
Aseptic meningitis is diagnosed using clinical and laboratory findings
of meningeal inflammation in the absence of bacteria on the
cerebrospinal fluid (CSF) smear and culture. It is commonly caused by a
viral infection, and in most cases improves without specific treatment.
Diagnostic clues for aseptic meningitis include positive meningeal sign
tests, such as nuchal rigidity, jolt accentuation test, Kernig and
Brudzinski sign, and specific CSF findings (such as elevated cell count
and protein level, mildly decreased glucose level). In this case report,
we present a case of aseptic meningitis in a 33-year-old Japanese man
suspected of having the positive sign of ocular globe compression that
was diagnosed only after repeated lumbar puncture.