Aseptic meningitis: management
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Aseptic meningitis: management. CSF opening pressure: this is high. Fully referenced neurology checklist.
Cerebrospinal fluid (CSF) analysis
- CSF opening pressure: this is high
- Cell count: this is increased up to several thousand
- Glucose: this is normal or low
- Protein: this is raised
Blood investigations
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Indicators of bacterial meningitis over aseptic meningitis
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Treatment
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References
- Ashwath ML, Katner HP. Recurrent aseptic meningitis due to different non-steroidal anti-inflammatory drugs including rofecoxib. Postgrad Med J 2003; 79:295-296.
- Dubos F, Lamotte B, Bibi-Triki F, et al. Clinical decision rules to distinguish between bacterial and aseptic meningitis. Arch Dis Child 2006; 91:647–650.
- Huy NT, Thao NT, Diep DT, Kikuchi M, Zamora J, Hirayama K. Cerebrospinal fluid lactate concentration to distinguish bacterial from aseptic meningitis: a systemic review and meta-analysis. Crit Care 2010; 14:R240.
- Irani DN. Aseptic meningitis and viral myelitis. Neurol Clin 2008; 26:635–655.
