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You searched for: meningitis in Neurology
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Delayed Cerebral Thrombosis After Pneumococcal Meningitis
- February 9, 2010
- Joseph R. Zunt, MD, MPH
- Neurology
A case-series analysis suggests that delayed stroke after initial good recovery may be an immune-mediated phenomenon in patients treated with adjunctive dexamethasone therapy.- Reviewing:
- Schut ES et al., Neurology 2009 Dec 8; 73:1988.
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Meningitis in Cancer Patients: Changes Accompany Medical Advances
- June 10, 2008
- Santosh Kesari, MD, PhD
- Neurology
Meningitis in cancer patients is often clinically occult, and the causative organisms have changed in parallel with treatment advances.- Reviewing:
- Safdieh JE et al., Neurology 2008 Mar 18; 70:943.
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Risk Score for Bacterial Meningitis
- April 15, 2008
- Karen L. Roos, MD
- Neurology
A score based on information available within 1 hour of presentation can aid prediction of outcome.- Reviewing:
- Weisfelt M et al., Ann Neurol 2008 Jan; 63:90.
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Early Signs and Symptoms of Meningococcal Disease
- October 24, 2006
- Russell E. Bartt, MD
- Neurology
In the first few hours of illness, signs and symptoms of sepsis are more common than meningitis symptoms.- Reviewing:
- Thompson MJ et al., Lancet 2006 Feb 4; 367:397-403.
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Management of Nosocomial Bacterial Meningitis
- March 16, 2010
- Karen L. Roos, MD
- Neurology
A review of the evidence and recommendations for prevention and treatment- Reviewing:
- van de Beek D et al., N Engl J Med 2010 Jan 14; 362:146.
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More Details on Corticosteroids for Bacterial Meningitis
- September 8, 2009
- Gary Maartens, MBChB
- Neurology
A meta-analysis of studies in adults and adolescents shows nonsignificant reductions in death and neurological sequelae overall, but significant benefits in studies conducted in high-income countries.- Reviewing:
- Assiri AM et al., Mayo Clin Proc 2009 May; 84:403.
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Meningococcal Meningitis: Genotypes and Clinical Features
- October 21, 2008
- Karen L. Roos, MD
- Neurology
In a Dutch database analysis, serogroup C cc11 was the most virulent strain, and serogroup B was the most common strain.- Reviewing:
- Heckenberg SGB et al., Medicine (Baltimore) 2008 Jul; 87:185.
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Corticosteroids for Acute Bacterial Meningitis in Developing Countries
- February 26, 2008
- Tracey A. Cho, MD
- Neurology
Two studies conducted in resource-poor countries highlight the geographic, epidemiologic, and economic complexities in determining optimal treatment.- Reviewing:
- Mai NTH et al., N Engl J Med 2007 Dec 13; 357:2431. Scarborough M et al., N Engl J Med 2007 Dec 13; 357:2441. Greenwood BM., N Engl J Med 2007 Dec 13; 357:2507.
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Dexamethasone and Cognitive Impairment from Bacterial Meningitis Free
- January 9, 2007
- Karen L. Roos, MD
- Neurology
Dexamethasone had no effect on cognitive impairment in survivors of pneumococcal or meningococcal meningitis.- Reviewing:
- Weisfelt M et al., Ann Neurol 2006 Oct; 60:456-68.
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Aseptic Meningitis and Encephalitis in Adults: Etiologies and Enigmas
- June 8, 2006
- Cheryl A. Jay, MD
- Neurology
An etiology, usually viral, can be identified in two thirds of patients with aseptic meningitis but in only one third of encephalitis patients.- Reviewing:
- Kupila L et al., Neurology 2006 Jan 10; 66:75-80.
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Features and Outcomes of Ischemic Stroke in Tuberculous Meningitis
- February 9, 2006
- Pierre L. A. Bill, MBBCh, FCP (SA), FRCP (UK)
- Neurology
The authors prospectively studied 40 patients diagnosed with definite or probable tuberculous meningitis (TBM) who presented consecutively over a 6-year period to determine features of . . .- Reviewing:
- Chan KH et al., Cerebrovasc Dis 2005 Jun; 19:391-5.
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Update on Management of Bacterial Meningitis in Adults
- February 9, 2006
- Serena S. Spudich, MD
- Neurology
Optimal therapy for community-acquired meningitis in adults has changed in the past decade, due to widespread antimicrobial resistance of typical causative organisms, as well as . . .- Reviewing:
- van de Beek D et al., N Engl J Med 2006 Jan 5; 354:44-53.
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Update on Tuberculous Meningitis
- August 3, 2005
- Nadir E. Bharucha, MD, FRCP, FRCP(C), FAMS
- Neurology
These authors review the available literature on tuberculous meningitis (TM), highlighting gaps in our knowledge of the condition’s pathogenesis, pathophysiology, diagnosis, and treatment.- Reviewing:
- Thwaites GE and Tinh Hien T., Lancet Neurol 2005 Mar; 4:160-70.
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Dexamethasone for the Treatment of Tuberculous Meningitis in Adolescents and Adults
- January 14, 2005
- Karen L. Roos, MD
- Neurology
To investigate whether adjunctive therapy with dexamethasone reduces the risk for death or severe disability from tuberculous meningitis in patients with and without HIV infection, . . .- Reviewing:
- Thwaites GE et al., N Engl J Med 2004 Oct 21; 351:1741-51.
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Complications of Pneumococcal Meningitis in Adults
- July 11, 2003
- Serena S. Spudich, MD
- Neurology
Despite the advent of neurologic intensive care units (ICUs) and modern antibiotic therapy, acute bacterial meningitis remains associated with severe neurologic morbidity and high mortality . . .- Reviewing:
- Kastenbauer S and Pfister HW., Brain 2003 May; 126:1015-25.
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Aseptic Meningitis Due to Rofecoxib Use
- June 27, 2002
- Nagagopal Venna, MD, MRCP
- Neurology
These authors present the clinical and laboratory features of 5 patients with aseptic meningitis due to the use of rofecoxib, a selective cyclooxygenase-2-inhibiting anti-inflammatory drug. . . .- Reviewing:
- Bonnel RA et al., Arch Intern Med 2002 Mar 25; 162:713-5.
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When Is CT Important Before Lumbar Puncture for Suspected Meningitis?
- January 24, 2002
- Michael Ronthal, MD, MBBCH, FRCP
- Neurology
In patients with bacterial meningitis, deterioration can be rapid, and the sooner antibiotics are administered, the better the outcome (Ann Intern Med 1998; 129:862). . . .- Reviewing:
- Hasbun R et al., N Engl J Med 2001 Dec 13; 345:1727-33.
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Acute Bacterial Meningitis in Adults
- March 8, 2001
- KL Roos
- Neurology
In this retrospective review, investigators studied the clinical features, CSF abnormalities, and time to initiation of empiric antimicrobial therapy in 103 episodes of acute bacterial . . .- Reviewing:
- Hussein AS and Shafran SD., Medicine (Baltimore) 2000 Nov; 79:
360 368 .
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Drug-Induced Benign Meningitis: A Diagnostic Challenge
- September 1, 1999
- N Venna
- Neurology
Because drug reactions are a rare cause of acute meningitis, they constitute a diagnostic challenge. These authors identified published cases of drug-induced aseptic meningitis (DIAM) . . .- Reviewing:
- Moris G and Garcia-Monco JC., Arch Intern Med 1999 Jun 14; 159:
1185 1194 .
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EV-PCR Testing in Managing Suspected Viral Meningitis
- October 5, 2000
- SK Feske
- Neurology
Enterovirus-specific polymerase chain reaction (EV-PCR) assay is a quick and accurate diagnostic tool. To determine its effect on the management of pediatric patients with suspected . . .- Reviewing:
- Ramers C et al., JAMA 2000 May 24; 283:
2680 2685 .
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