Chronic meningitis

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Meningitis_-_Lumbar_puncture

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Chronic Meningitis

Chronic meningitis is a medical condition characterized by persistent inflammation of the meninges, the protective membranes surrounding the brain and spinal cord. Unlike acute meningitis, which typically presents with sudden and severe symptoms, chronic meningitis develops gradually and may persist for weeks to months.

Causes: Chronic meningitis can be caused by a variety of infectious and non-infectious factors. Common infectious causes include tuberculosis, fungal infections, and certain bacterial infections. Non-infectious causes may include autoimmune disorders, certain medications, and underlying medical conditions.

Symptoms: The symptoms of chronic meningitis can vary but often include persistent headaches, fever, neck stiffness, fatigue, and cognitive changes. Patients may also experience sensitivity to light, nausea, and vomiting. Due to the gradual onset of symptoms, chronic meningitis can be challenging to diagnose.

Diagnosis: Diagnosing chronic meningitis typically involves a combination of medical history review, physical examination, imaging studies such as MRI or CT scan, and analysis of cerebrospinal fluid obtained through a lumbar puncture. Laboratory tests may be conducted to identify the underlying cause of the inflammation.

Treatment: Treatment of chronic meningitis depends on the underlying cause. Infectious causes may require prolonged courses of antimicrobial therapy, while non-infectious causes may be managed with corticosteroids or other immunosuppressive medications. Supportive care to alleviate symptoms and improve quality of life is also an important aspect of treatment.

Prognosis: The prognosis for chronic meningitis varies depending on the underlying cause, the timeliness of diagnosis, and the effectiveness of treatment. Early recognition and appropriate management are crucial in improving outcomes and reducing the risk of complications.

Prevention: Preventing chronic meningitis involves addressing risk factors such as immunosuppression, avoiding exposure to infectious agents, and maintaining overall health and wellness. Vaccination against certain infectious agents known to cause meningitis can also help reduce the risk of developing the condition.

Overall, chronic meningitis is a complex medical condition that requires a multidisciplinary approach for accurate diagnosis and optimal management. Close collaboration between healthcare providers, infectious disease specialists, neurologists, and other experts is essential in providing comprehensive care for individuals affected by chronic meningitis.


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Contributors: Prab R. Tumpati, MD