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Computed tomography in purulent meningitis

J Bodino, P Lylyk, M Del Valle

    American Journal of Diseases of Children (1960)
    |June 1, 1982
    PubMed
    Summary
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    Computed tomographic (CT) scans identified complications in 25 bacterial meningitis patients. CT scans proved valuable for guiding neurosurgical interventions in pediatric cases.

    Area of Science:

    • Neurology
    • Pediatrics
    • Radiology

    Background:

    • Bacterial meningitis can lead to severe neurological complications in children.
    • Early identification of complications is crucial for effective management.

    Purpose of the Study:

    • To evaluate the utility of computed tomographic (CT) scans in diagnosing complications of bacterial meningitis in pediatric patients.
    • To assess the role of CT findings in guiding neurosurgical interventions.

    Main Methods:

    • Retrospective analysis of 102 pediatric bacterial meningitis cases.
    • 25 patients underwent computed tomographic (CT) scans based on specific clinical criteria.
    • Analysis of CT findings including hydrocephalus, cerebritis, vasculitis, and others.

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    Main Results:

    • CT scans revealed various complications such as hydrocephalus, cerebritis, vasculitis, subdural effusion, cerebral atrophy, abscess, and ependymitis.
    • Serial CT scans showed the progression or regression of certain complications.
    • CT findings were instrumental in determining the need for neurosurgical procedures.

    Conclusions:

    • Computed tomographic (CT) scanning is a valuable tool for detecting and monitoring complications in pediatric bacterial meningitis.
    • CT imaging aids significantly in the decision-making process for neurosurgical interventions in these patients.