LP without CT if strong suspicion of meningitis. No reason for CT
unless focal findings...
The literature doesn't really support CT before LP. No relationship has
been found between CT findings and opening pressure.
John Fowler, MD
On 06.Nis.2005, at 09:22, John Ryan wrote:
> Sorry to start another thread simultaneously simultaneously but we are
> keen to know hoe people tackle the issue of suspected meningitis,
> particularly out of hours.
>
> Do people CT all or just those with clinical suspicions (if so what do
> you use).?
>
> A paper form NEJM in 2001 gave strong argument for not CTing everyone
> first.
>
> For older list members are you aware of many patients who 'coned' or
> had adverse events after a LP in the days before CT where patients had
> LP for suspected meningitis ?
>
> John Ryan
>
>
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