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:
ArialSorry to start
another thread simultaneously simultaneously but we are keen to know
hoe people tackle the issue of suspected meningitis, particularly out
of hours.
ArialDo people CT all or just
those with clinical suspicions (if so what do you use).?
Arial
ArialA paper form NEJM in 2001
gave strong argument for not CTing everyone first.
ArialFor 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 ?
ArialJohn Ryan
Arial
