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Cerebral malaria, meningitis, dilatation of the ventricle. Curable? - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hello, please proceed with your query.
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 :   I am in Nigeria
Doctor :   I am sorry to hear your son is ill. Let me provide you with some information regarding this
Doctor :   Meningitis is a term which refers to inflkammation of the thin covering of the brain
Doctor :   when this covering becomes inflammed it can lead to changes in pressure inside the central nervous system
User :   Ok
User :   Is it curable?
Doctor :   Sometimes when the fluid builds up in the brain the body has trouble reabsorbing it which can create what is called hydrocephalus
Doctor :   If the underlying cause is treated
Doctor :   yes, it can be curable
User :   What about the dilatation of the ventricle
Doctor :   That will be monitored closely by your son's physicians
User :   Would my son have problems withit in future?
Doctor :   if the pressure builds to a certain degree they can intervene to relieve some of the pressure
User :   What can you suggest me about the medications, I can say that to the doctors here
Doctor :   If the cause is treated he generally would not be expected to have issues with recurrence or problems in the future.
Doctor :   As far as medications
Doctor :   Malaria infection is treated with medications which target the organism
Doctor :   generally an organism called plasmodium falciparum causes this
User :   My son is in Lagos Teaching Hospital, lot of emergencies here
User :   I am worried
Doctor :   Let me reassure you
User :   Do you think seizures are normal at this stage?
Doctor :   It sounds as though they have obtained a diagnosis of an illness which is treatable
Doctor :   seizures are possible
Doctor :   the doctors may start him on medications to protect his brain from suffering seizures uintil the inflammation improves
User :   Today they want to take water from his back, what are they into
Doctor :   What they are referring to there is what is termed "spinal tap"
Doctor :   This is where they obtain a small sample of the spinal fluid.
Doctor :   Spinal fluid circulated through the brain and spinal cord.
Doctor :   By analyzing this fluid, the doctors will be able to understand more comprehensively what is going on with your son
Doctor :   They will study the fluid for infection, send the fluid for culture and analyze the cells which circulate in the fluid
Doctor :   It is a test done routinely by pediatric neurologists
Doctor :   Are you following what I have explained thus far?
Doctor :   Are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
User :   Oh
User :   I am sorry
User :   I am browsing other websites
Doctor :   I understand
Doctor :   Do you follow what I ahve explained thus far?
User :   Can you give me some medicines which I can say to the doctor over there
User :   here
User :   yes
Doctor :   OK
Doctor :   sure,
Doctor :   Regarding medications, there are a number of medications used to control and or prevent seizures. Among these are phenytoin and phenobarbital
Doctor :   As for the malaria infeciton there are also a number of medications which may be used
User :   if not malaria, as I said, the doctor said meningitis
User :   what could be right between them
Doctor :   The spinal tap will determine this
Doctor :   If it is malaria they treat with medications such as quinine
Doctor :   If it is meningitis they may treat with antibiotics or an anti-viral medication if thjey are concerned that a virus is playing a role
User :   Ok
Doctor :   The spinal fluid is the key to the diagnosis
User :   Should I take my son to some other place
User :   or let him be under their care
User :   is it safe to shift
Doctor :   It sounds as if they are proceeding with an appropriate workup
Doctor :   He is certainly very ill
Doctor :   It is a teaching hospital correct?
Doctor :   are their pediatric specialists who have spoken to you?
Doctor :   you may inquire as to their level of comfort in handling his case
Doctor :   Are you there?
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
Doctor :   Are you there?
Doctor :   No Response     I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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