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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Spinal Meningitis?

My wife was diagnosed with Strep A Bacterial Spinal Meningitis on 5/24/14. She has gotten better & is in out patient rehab therapy now. she had a MRI a week ago today. the doctor that ordered it said he felt her infection was gone & I think he said the swelling of her meneges( lining of the brain was better also) However he did say that her he noticed that she had Hddro encephalitis in her left ventricle she is taking seizure preventive medication & steroids for the inflammation she will see a family doctor tomorrow. The doctor that ordered the MRI is going over the results with a neurologist & a nero surgeon to see if any thing else should be done or a change in meds she be done. Her present meds she is on will run out in a week. Hopefully the specialist doctors will contact her family doctor to make sure she gets what is best for her. Her apt is at 4:40 tomorrow.
Wed, 10 Dec 2014
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Neurologist,  's  Response
I read your question and I understand your concern.

The treatment as you seem to know yourself consists of antibiotics as well antiepileptics to prevent seizures and steroids for inflammation. However given the date I suspect those things have been done now and it's more a question of dealing with the aftermath of the infection.
I guess it's being evaluated by a neurosurgeon for the possibility of needing a draining tube in that ventricle to address the hydrocephalus. Steroids might be interrupted, while seizure prophylaxis depends on weighing several factors like whether she had seizures during the course of the disease, their frequency and present of epileptiform activity on EEG.
I hope things will work out for the best.
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What Is The Treatment For Spinal Meningitis?

I read your question and I understand your concern. The treatment as you seem to know yourself consists of antibiotics as well antiepileptics to prevent seizures and steroids for inflammation. However given the date I suspect those things have been done now and it s more a question of dealing with the aftermath of the infection. I guess it s being evaluated by a neurosurgeon for the possibility of needing a draining tube in that ventricle to address the hydrocephalus. Steroids might be interrupted, while seizure prophylaxis depends on weighing several factors like whether she had seizures during the course of the disease, their frequency and present of epileptiform activity on EEG. I hope things will work out for the best.