How is increased intracranial volume monitored in the treatment of Haemophilus influenzae type b (Hib) meningitis?

Updated: Jul 09, 2018
  • Author: Prateek Lohia, MD, MHA; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Head circumference, fontanelle pressure, funduscopy, and other measures of secondary increases in intracranial volume due to postmeningitic hydrocephalus or the development of extra-axial collections (eg, abscess, empyema, subdural hemorrhage, noninfectious subdural collections) should be monitored as indicated in individual cases. Repeat scans of the intracranial contents should be ordered as needed when unexpected deteriorations of function occur that might be explained by structural processes.


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