Humphreys R P
Can Med Assoc J. 1975 Sep 20;113(6):536-8.
A variety of associated lesions may require the neurosurgeon's assistance in the management of bacterial meningitis. As treatment of this infection of the central nervous system proceeds, the surgeon will have to decide about the concurrent or subsequent operative treatment of congenital dysraphic states, paraneural infections, compound fractures or penetrating wounds of thecranium or spine, or infected bypass shunts for cerebrospinal fluid (CSF). In patients with intractable meningitic infections the surgeon may have to insert a ventricular drainage-irrigation system to permit adequate perfusion of the CSF pathways with antibiotic. Hydrocephalus or subdural effusions complicating meningitis may bring the patient to the surgeon long after the infection has been cured. This paper examines these problems and outlines the current principles of management.
在细菌性脑膜炎的治疗过程中，多种相关病变可能需要神经外科医生的协助。随着这种中枢神经系统感染治疗的推进，外科医生将不得不决定是否对先天性神经管闭合不全状态、神经旁感染、颅骨或脊柱的复合骨折或穿透伤，或脑脊液（CSF）感染的分流器进行同期或后续手术治疗。对于患有难治性脑膜炎感染的患者，外科医生可能不得不插入脑室引流 - 冲洗系统，以便用抗生素充分灌注脑脊液通路。脑膜炎并发的脑积水或硬膜下积液可能在感染治愈很久之后才将患者带到外科医生处。本文探讨了这些问题并概述了当前的治疗原则。
