Aseptic meningitis: management

Evidence-based neurology checklist on aseptic meningitis: management: Cerebrospinal fluid (CSF) analysis CSF opening pressure: this is high Cell count: this is increased up to several thousand Glucose: this is normal or low Protein: this is raised Blood investigations Indicators of bacterial…

Cerebrospinal fluid (CSF) analysis

  • CSF opening pressure: this is high
  • Cell count: this is increased up to several thousand
  • Glucose: this is normal or low
  • Protein: this is raised

Blood investigations

Indicators of bacterial meningitis over aseptic meningitis

Treatment

References

  1. Ashwath ML, Katner HP. Recurrent aseptic meningitis due to different non-steroidal anti-inflammatory drugs including rofecoxib. Postgrad Med J 2003; 79:295-296.
  2. Dubos F, Lamotte B, Bibi-Triki F, et al. Clinical decision rules to distinguish between bacterial and aseptic meningitis. Arch Dis Child 2006; 91:647–650.
  3. Huy NT, Thao NT, Diep DT, Kikuchi M, Zamora J, Hirayama K. Cerebrospinal fluid lactate concentration to distinguish bacterial from aseptic meningitis: a systemic review and meta-analysis. Crit Care 2010; 14:R240.
  4. Irani DN. Aseptic meningitis and viral myelitis. Neurol Clin 2008; 26:635–655.

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