Thus in a sense the vessel wall in affected from the

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. Thus in a sense the vessel wall in affected from the beginning in meningitis. . 508
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Arterial involvement usually occur in the form of vasculitis and in chronic cases, leads to subintimal fibrosis (obliterative endarteritis). . Venous involvement usually leads to vasculitis and venous thrombosis. The vascular involvement produces brain infarction which may lead to seizures. • The arachnoid membrane tends to serve as an effective barrier to the spread of infection, but some secondary reactions in the subdural space may occur neverthless. • This leads to subdural effusions. 509
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These are far more common in infants than in adults and as a rule there is no subdural pus, only a sterile yellowish exudate. • In the early stages very little changes are observed in the brain substance, but in late stages brain involvement may occur, not as a result of direct entry of bacteria into the C.N.S. but as a result of diffuson of toxin in the cortex. 510
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Neurological complications of meningitis include all of the following, except - (AIIMS Nov 2002) a) Seizures. b) Increased intra-cranial pressure c) Cerebral hamartoma d) Subdural effusions. C 511
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Acute Pyogenic Meningitis true is/are (AIIMSNov- 02) a) Purulent exudates within leptomeninges b) CSF cloudy with PMN c) Spreads to ventricle d) Causes ventricular enlargements. A, B , C, D 512
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Characteristic finding in CT in a TB case is - a) Exudate seen in basal cistern (AI 01) b) Hydrocephalus is noncommunicating c) Calcification commonly seen in umbellium d) Ventriculitis is a common finding 513
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The characteristic pathological feature of T.B. meningitis is predominant involvement of the basal meninges while the relative sparing of the convexities of the brain. • The brunt of the pathologic process falls on the basal meninges where a thick gelatinous exudate accumulates. 514
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All are complications of tubercular meningitis except- a) Hydrocephalus (PG1 DEC 99) b) Infarction c) Obliterative endarteritis d) Sinovenous thrombosis 515
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The most common complications of meningitis are Hyponatremia Hydrocephalus Stroke Cranial nerve palsies Epileptic seizures Diabetes insipidus Tuberculoma Myeloradiculopathy Hypothalamic syndrome 516
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All are complications of tubercular meningitis except- a) Hydrocephalus (PG1 DEC 99) b) Infarction c) Obliterative endarteritis d) Sinovenous thrombosis D 517
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A 45-year-old female is diagnosed as a case of pneumococcal meningitis. Her blood sample were sent for culture sensitivity. In the mean time best drug to start as an empirical treatment is - a) Penicillin G (AIIMS.
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  • Winter '16
  • jean grey

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