Meningitis CT: Difference between revisions
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== | ==CT== | ||
* The role of the | * The role of the head CT is controversial. It should obviously be performed in all patients with suspected elevations in intracranial pressure (ICP), however this is often a difficult clinical diagnosis. | ||
*:* Approximately 50% of the patients in Durand’s study with focal neuro findings had CT abnormalities, whereas CT findings were seen in only 17% of patients without focal findings on exam (p < 0.01). | *:* Approximately 50% of the patients in Durand’s study with focal neuro findings had CT abnormalities, whereas CT findings were seen in only 17% of patients without focal findings on exam (p < 0.01). | ||
*:* Quagliarello and Scheld recommend getting CTs only in patients who are comatose, have papilledema or who have focal neuro deficits. | *:* Quagliarello and Scheld recommend getting CTs only in patients who are comatose, have [[papilledema]] or who have focal neuro deficits. | ||
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Latest revision as of 22:41, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
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CT
- The role of the head CT is controversial. It should obviously be performed in all patients with suspected elevations in intracranial pressure (ICP), however this is often a difficult clinical diagnosis.
- Approximately 50% of the patients in Durand’s study with focal neuro findings had CT abnormalities, whereas CT findings were seen in only 17% of patients without focal findings on exam (p < 0.01).
- Quagliarello and Scheld recommend getting CTs only in patients who are comatose, have papilledema or who have focal neuro deficits.