Fast Five Quiz: What Do You Know About Meningitis?

Michael Stuart Bronze, MD

Disclosures

August 09, 2016

A CT scan of the head may be performed before lumbar puncture to determine the risk for herniation. However, the decision to obtain a brain CT scan before lumbar puncture should not delay the institution of antibiotic therapy; such delay can increase mortality. It should also be noted that herniation can occur in patients with bacterial meningitis who have a normal brain CT scan. The most reliable clinical signs that indicate the risk for herniation include deteriorating level of consciousness, brainstem signs, and a very recent seizure.

For more on the workup for meningitis, read here.

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