Bacterial meningitis surgery

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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 bacterial meningitis. However, neurosurgical assistance may be required in patients having complications of bacterial meningitis such as hydrocephalus, brain abscess, 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

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