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Question :

Posted On : 19 Sep 2019

What are the indications of CT Scan head in a suspected, proven case of bacterial meningitis?
Can a patient of suspected meningitis be treated without CT Scan?

Expert Answer :

Answer Discussion :

N

naveed anjum

0

indications are 1- if pt has complications of meningitis like Hydrocephalus or subdural Empyema.2- focal seizures 3-focal neurological Deficit..

5 years ago

B

bharat

0

to rule out raised intracranial pressure, before lumbar puncture

5 years ago

B

Bap Chelsy Cheung

0

yes, need to give empirical abx

5 years ago

Answer 1

In Uncomplicated acute pyogenic meningitis, it is not mandatory to do a neuroimaging of the brain. The definite indications are - focal seizures, focal deficits, no improvement sensorium and, or CSF in 48-72 hrs, immunocompromised patient, persistent signs of raised ICT. Cases of TB meningitis will need a CT as they have a higher incidence of infarcts and hydrocephalus.

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