Zusammenfassung der Ressource
A child with a stiff neck
- Anatomy
- Skull
- Meninges
- CSF
- Secretion
- From the choroid plexus, which
are found on the lateral
ventricles, roof of the 3rd
ventricle, and the 4th ventricle
- Absorption
- Absorbed from the superior
sagittal sinus through the
arachnoid villi
- Circulation
- Through the
ventricular system
- Ventricular system
- Lateral ventricles
- 3rd ventricle
- 4th ventricle
- Foramen of Monro
- Cerebral Aqueduct
- Central canal
- Meningitis
- Inflammation of
the protective
membranes
covering the
brain and spinal
cord (meninges)
- Causes
- Infectious
- Viral
- Bacterial
- Neisseria
Meningitidis
- Listeria
monocytogens
- H.Influenza
- Streptococcus
agalactiae
- Enterovirus
- Cocxakie
virus
- Echovirus
- Fungal
- Cryptococcus newformans
- Non-infectious
- injury (head
trauma), drugs
and cancer
- Signs and symptoms
- Fever
- Headache
- Neck
stiffness
- Photophobia
- Pathology
- 1. penetrate the blood-brain
barrier
- 2. endotoxin and inflammatory
mediators
- 3. leakage of protein and fluid out of the cerebral
vasculature
- 4. causing cerebral edema , increase intracranial pressure
- 5. lead to a reduction in cerebral perfusion
- 6. Brain death
- Investigations
- Lumbar
Puncture
- Insertion of needle in subarachnoid space at levels
- In Infants: L4-L5
interspace
- In Adults: L3-L4
interspace
- Indications
- Diagnostic
- Therapeutic
- Anesthesia
- Injection of Drug
(Antibiotic,
Chemotherapy)
- Sample CSF (Infections, Cancers,
Subarachnoid Hemorrhage,
Neurologic Disorders)
- Measure
pressure
- Contra-indications
- Increased intracranial
pressure
- Infections at the level of
insertion
- Uncorrected
Coagulopathy
- Complications
- Severe headache
- Hemorrhage
- Back pain
- Physical examinations
- Vital signs
- Meningeal signs
- General inspection
- Neurological examinations
- Kernig's sign
- Brudzinski's sign
- Management
- Newborn
- Adult
- Elderly
- Ampicillin + vancomycin + 3rd generation cephalosporin
- Vancomycin + 3rd generation cephalosporins
- Ampicillin + 3rd generation
cephalosporin + Aminoglycoside