Fast Five Quiz: What Do You Know About Meningitis?

Michael Stuart Bronze, MD


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.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as: