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Meningitis, cerebral malaria, dilatation of the lateral ventricle - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
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General & Family Physician
Practicing since : 2005
Answered : 2402 Questions
User :   hi, my 11months son was diagnosed to have cerebral malaria, later they said its meningitis and scan shows that he has dilatation of the lateral ventricle. What are the implications of all these?
User :   Hi
User :   Hi
User :   Hi
User :   my 11months son was diagnosed to have cerebral malaria, later they said its meningitis and scan shows that he has dilatation of the lateral ventricle. What are the implications of all these?
User :   Right, I am reading it
User :   Please give me a minute
User :   ok
User :   The dilatation of lateral ventricles is an commonly observed pathological phenomena when there is meningitis
User :   is it a curable disease
User :   Meningitis is very much curable
User :   It requires careful monitoring hence most of the times the physicians prefer to hospitalize
User :   ok but how about dilatation of lateral ventricles
User :   Dilatation of lateral ventricle as I said can be usual finding in the meningitis case
User :   We have to know how large is it
User :   Some times developing babies have enlarged ventricles as normal finding
User :   If you are concerned about the enlarged lat ventricles alone, you have to understand that
User :   1) It can be normal in infants ( less than 1 year)
User :   2) They are enlarged in infants with meningitis
User :   i over heard them saying something like 2X2
User :   So it is necessary to know how enlarged they are
User :   2 cm, Ok
User :   the actually has recurring convulsion, do you think all these can normalize without recurring in the nearest future?
User :   the baby actually has recurring convulsion, do you think all these can normalize without recurring in the nearest future?
User :   Meningitis is curable completely, it is an infection, meningitis can increase the size of the ventricles, it can also cause complications of seizures
User :   ok
User :   Once the meningitis is cured, these complications are rare
User :   and ventricle comes back to normal size
User :   Are you following?
User :   yes, but is seizures in anyway a spiritual ...
User :   I do not think so
User :   It is a complications which is common during episode of meningitis in a baby
User :   are you with me?
User :   i'm actually in nigeria, do think it can be handled here or do you think i need to change hospital and where?
User :   Oh, Meningitis is endemic in Nigeria
User :   i'm at the lagos university teaching hospital
User :   I am not sure of the hospital facilities there
User :   but since it is common there, they should have definite protocols in place to handle such emergencies
User :   Put your child In intensive care and ensure proper nursing
User :   Do not let the authorities compromise on the care
User :   You cannot travel else for the treatment
User :   ok
User :   can you recommend any drug that i can mention to the doctors?
User :   Broad spectrum antibiotics
User :   Third generation Cephalosporins
User :   along with IV antimalarials
User :   with good supportive care
User :   by nursing
User :   The drugs are absolutely given through injectionhs
User :   right now he is on Broad spectrum antibiotics, Cephalosporins (i don't know the generation), and IV antimalarials but good supportive care has been a problem because of too much emergencies
User :   Ok
User :   The right time to detect early complictions is the key
User :   I cannot doubt the competency of the doctors there
User :   this morning they want to collect water from the back to be sure of the bacterial involved so as to know which antibiotics is best
User :   are they on the right track?
User :   yes CSF analysis ( fluid from back)
User :   is very important to know the organism
User :   TB / Virus / Bacterial
User :   then the can put definitive drug
User :   That is part of the standard protocol in Meningitis endemic countries according to WHO
User :   ok
User :   Are you with me
User :   they also mentioned CT scan of head, is there a need for that?
User :   Did you follow
User :   Yes
User :   yes i'm following well
User :   ok
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