How are complications of aseptic meningitis managed?

Updated: Jul 17, 2018
  • Author: Tarakad S Ramachandran, MBBS, MBA, MPH, FAAN, FACP, FAHA, FRCP, FRCPC, FRS, LRCP, MRCP, MRCS; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Seizures sometimes can complicate meningitis; however, prophylactic anticonvulsants are not recommended routinely. If seizures develop, they can be controlled with phenytoin and phenobarbital. If status epilepticus develops, appropriate therapy should be provided to prevent secondary brain injury.

If persistent cognitive problems occur after recovery from acute meningitis, especially residual suboptimal functioning in the workplace or in school, referral for formal neuropsychological testing clarifies the nature of the complaint both to the physician and to the patient and helps separate psychological adjustment factors from organic dysfunction.

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