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Flashcards in Neuro Deck (11):

AB treatment of bacterial meningitis in children less than and greater than 2 months

less than - cefotazime and benzylpenicillin
greater than - ceftriaxone and dexamethasone


definition of a SIMPLE febrile convulsion

generalised, tonic-clonic seizure lasting less than 15 minutes with complete recovery and do not reoccur within the same febrile illness


typical LP of TB meningitis

Neutrophils less than 100
Lymphocytes 50-1000
High protein 1-5
Low glucose (less than 0.3)
(Same as bacterial except neutrophils are lower)


which organism is the most likely to cause death from meningitis



what makes a febrile convulsion COMPLEX

presence of one of the following:
- focal features at onset or during the seizure
- duration of more than 15 minutes
- reccurs within the same febrile illness
- have incomplete recovery within 1 hour


what are Kernig's and Bruzinski's sign

Kernig's = hip flexion with an extended knee causes pain in the back and legs
Bruzinski's = forced flexion of the neck elicits a reflex flexion of the hip


typical LP of viral meningitis

low neutrophils (less than 100)
High lymphocytes (10-10000)
Protein low/normal
Glucose usually normal


definition of status epilepticus

A convulsion involving the respiratory musculature and upper airways that does not cease within a few minutes may cause hypoventilation with hypoxaemia and hypercarbia


typical LP of bacterial meningitis

high neutrophils
Protein higher (over 1.0)
glucose low (less than 0.4)


gram stains of the 3 most common organisms to cause meningitis in children >2 months

pneumococcus - gram positive diplococcus
N. meningitides - gram negative diplococcus
HiB - gram negative rod


definition of a febrile convulsion

a convulsion in a child in the setting of an acute febrile illness, without previous afebrile seizures, significant prior neurological abnormality and no CNS infection