Most commonly in meningitis, the cerebrospinal fluid and its surrounding meninges—the arachnoid mater and pia mater—are infected and inflamed. While the dura mater may have little to no inflammation, its nerve fibers may become activated and contribute to neck pain and nuchal rigidity.

How does meningitis affect the neck?

A headache caused by meningitis is typically described as severe and unrelenting. It does not subside by taking an aspirin. Stiff neck. This symptom most commonly involves a reduced ability to flex the neck forward, also called nuchal rigidity.

Where does your neck hurt with meningitis?

Meningitis can cause a stiff neck. This is because it causes inflammation and infection in the meninges surrounding the brain and spine. A person will likely feel the stiffness from the inflammation most noticeably in their neck, which is the most mobile area that the meninges cover.