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Medicine

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Neurology

Question
1 out of 18
 

Neurological complications of meningitis include all of the following, except: (AIIMS Nov 2010)



A Seizures.

B Increased intra-cranial pressure.

C Cerebral hamartoma.

D Subdural effusions.

Ans. C

Cerebral hamartoma.

Meningitis

DEFINITION – It is an infection of pia – arachnoid and the CSF of the arachnoid space.

CAUSES

1). >20years- S. pneumoniae

2). 2 to 20 years-N. meningitides

3). Neonates-Streptococcus agalactiae

4). <1mth,pregnant,>60years old, immunocompromised-Listeria monocytogenes

5). 2 to 12 months-H. influenzae

CLINICAL FEATURES

Triad of symptom –

1). Fever,

2). Headache

3). Neck stiffness.

1). Meningeal signs –

a. Neck rigidity

b. Kernig’s sign

c. Brudzinski’s sign

2). Raised ICP signs –

a. Bradycardia

b. Irregular respiration

c. Hypertension

b. Decerebrate rigidity

e. Papilledema

f. Nerve palsy

3). Seizures

a. Due to Focal arterial ischemia

b. Focal edema

c. Cortical venous thrombosis with haemg.

d. Fever

4). Hyponatremia (SIADH)

5). Cerebral oedema

6). Rash of meningococcemia

Complications of Meningitis

1). Raised ICP

2). Seizure

3). Mental retardation

4). Cranial nerve palsy

5). Hydrocephalus

6). Sub dural effusion (Common in children with meningitis due to influenza )

7). Vasculitis

8). SIADH

9). Focal deficit

10). Brain abscess

Neurology Flashcard List

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