Clinical Case Reports
Bedside Transcranial Doppler as a Dynamic Warning Tool for Rapidly Evolving Intracranial Hypertension in Pneumococcal Meningitis
By Mahmoud Ahmed, Victoria Collins and Andrea Lavinio.
Abstract
ABSTRACT In severe bacterial meningitis, an initially non‐critical or technically unreliable lumbar puncture opening pressure should not reassure when hydrocephalus and coma persist. Bedside transcranial Doppler cannot measure intracranial pressure, but bilateral near‐absent diastolic flow may provide an urgent warning signal prompting repeat assessment and cerebrospinal fluid diversion.
Keywords
- bacterial meningitis
- cerebrospinal fluid
- critical care
- hydrocephalus
- intracranial hypertension
- transcranial Doppler ultrasonography
- Open access
Source
Published in Clinical Case Reports. The abstract is shown as published and remains the work of its authors; read the full article at the source.
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