JOURNAL ARTICLE

Lumbar Puncture and Brain Herniation in Acute Bacterial Meningitis: An Updated Narrative Review.

  • Published In: Journal of Intensive Care Medicine, 2025, v. 40, n. 12. P. 1309 1 of 3

  • Database: Academic Search Ultimate 2 of 3

  • Authored By: El-Hajj, Victor Gabriel; Gharios, Maria; Elmi-Terander, Adrian 3 of 3

Abstract

The article focuses on the risks associated with performing a lumbar puncture (LP) in patients with acute bacterial meningitis (ABM), particularly in the context of a case involving an 18-month-old patient who experienced severe neurological decline. The authors review existing literature and provide recommendations based on limited evidence, emphasizing the importance of assessing intracranial pressure (ICP) before conducting an LP. They argue for the necessity of timely neurosurgical consultation and the placement of an external ventricular drain (EVD) in cases of suspected elevated ICP, as well as the potential benefits of administering intravenous steroids in managing ABM. The case serves as a learning opportunity, highlighting the complexities and critical decision-making involved in treating patients with ABM. [Extracted from the article]

Additional Information

  • Source:Journal of Intensive Care Medicine. 2025/12, Vol. 40, Issue 12, p1309
  • Document Type:Letter
  • Subject Area:Health and Medicine
  • Publication Date:2025
  • ISSN:0885-0666
  • DOI:10.1177/08850666251370340
  • Accession Number:188922990
  • Copyright Statement:Copyright of Journal of Intensive Care Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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