Bacterial meningitis surgery

Meningitis main page
Bacterial meningitis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Meningitis from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
CT
MRI
Lumbar Puncture
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

There is no role of surgery in the management of uncomplicated bacterial meningitis. However, surgical asssistance may be required in the patients unresponsive to medical therapy such as failure of drug transport to CSF or occlusion of fourth ventricle outlets by pus, traumatic injuries such as compound fractures of skull or penetrating wounds of CNS and management of complications of bacterial meningitis such as hydrocephalus, subdural effusions, intraventricular septations. Surgical procedures which may play role include ventricular drainage procedures for hydrocephauls, excision or aspiration for brain abscess and

Surgery

There is no role of surgery in the treatment of uncomplicated bacterial meningitis. However, neurosurgical assistance may be required in the following conditions: Complications of bacterial meningitis

• Complications such as hydrocephalus, brain abscess, subdural effusions, intraventricular septation and dural venous sinus thrombosis.
• Following surgical procedures may be perfomed in patients having complications of meningitis.

• Ventricular drainage for increased intracranial pressure
• Aspiration or surgical excision of abscess
• Procedures for dural venous sinus thrombosis such as radical mastoidectomy

References

Template:WikiDoc Sources