The name of covering of the brain is called meninges, when it is inflamed, then called meningitis.
The inflammation of the Pia and arachnoid membrane. The definition of meningitis is inflammation of brain covering.
Name of the brain covering
from inside to outside
- Pia mater
- Arachnoid mater
- Dura mater
Classification
- Commonest cause: Pneumococcus in adults, H. Influenza in children.
- Predisposed: Alcoholic, sickle cell disease, Hodgkin's lymphoma, splenectomy.
Types of inflammation
- Sterile
- Subarachnoid hemorrhage
- Poliomyelitis
- Carcinomatosis
Infective
Purulent
- Meningococcal
- Pneumococcal
- Streptococcus and staphylococcal
Non-Purulent
- Viral
- Tubercular
- Fungal
Chronic meningitis by typical mycobacteria, spirochetes.
Acute pyogenic meningitis
- Etiology
- Pneumococci
- Streptococci
- Staphylococci
Source of infection
- Middle ear infection
- Droplet infection from the nasopharynx
- Cerebral abscess
- Embolism
- Head injury
Meningococcal meningitis
Etiology: It is the most common type of pyogenic meningitis. It spreads by droplet infection and enters the body through the nasopharynx and is subsequently carried to the bloodstream via the choroid plexus.
Onset: Sudden, may occur in epidemics
Symptoms
- Onset is acute with headache, pyrexia, and rigors
- Pain in back with the headache involving neck also
- Projectile vomiting
- Generalized flexed attitude
- Convulsions at the onset, especially in children
- Photophobia
- Irritability, confusion, and drowsiness
Signs of meningeal irritation
- Neck rigidity
- Kernig's sign: If the thigh is flexed at 90 degrees from the abdomen, it is impossible to straighten the knee passively due to spasm of hamstring muscles
- Brudzinski's sign: Passive flexion of a thigh causes spontaneous flexion of opposite thigh and flexion of the neck causes flexion of hips and knee on both sides
Investigation
- CBC
- CSF: Increased pressure
- Gram-negative diplococci (culture positive)
- Protein contents raised
- Glucose content is lowered
- CT, MRI might be needed in case of mass lesions
Complication
- Hydrocephalus
- Permanent blindness due to optic atrophy
- Insanity
- Septicemia
- Hyperpyrexia
- Acute adrenal failure
- Hemiplegia of paraplegia
- Aseptic meningitis
Management
- The patient should have to go to the health care center
- Control fever or pyrexia
- Hydration to be maintained
- Blood pressure and adrenal function needs monitoring
Homeopathic medicines | Treatment
Apis Mel 30: It is the great medicine for meningitis, where convulsions, stiffness of the neck, roiling of the head, and bores heads into the pillow
Belladonna 6: Violent and sudden onset with a throbbing headache, high feverish state starting during sleep.
Head has drawn backward and rolls from side to side.
Helleborus 30: Here in this medicine, there is complete unconsciousness, picks lips and cloth, rolls head 24 hours with moaning, sudden screaming.
[NB: Must call physician for this disease]
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