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Doctor insights on: Meningeal Signs

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Is it necessary to penetrate any meninges to perform an epidural? Is it necessary to penetrate any meninges to perform an epidural? If so why?

Is it necessary to penetrate any meninges to perform an epidural? Is it necessary to penetrate any meninges to perform an epidural?  If so why?

No.: An epidural means outside the dura (meninges). It is not intended to penetrate the meninges, but it is a common complication of the procedure. It is referred to as a "wet tap", and generally has no long-term consequences. However, it can produce a very severe headache, that sometimes must be treated with another procedure, called a 'blood patch'. ...Read more

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What is mild meningeal enhancement especially in the perisylvian regions? How serious and how long can it take to cure caused by japanese enceph.

What is mild meningeal enhancement especially in the perisylvian regions? How serious and how long can it take to cure caused by japanese enceph.

Brain imaging: Contrast material used on a ct or MRI of the brain may cause certain areas to look brighter, or enhanced, as compared to surrounding areas. Your findings may indicate inflammation of the lining of the brain near the sylvian fissure, which separates the frontal from temporal lobes of the brain. Japanese encephalitis can be deadly if not addressed quickly. Treatment is supportive, if you have je. ...Read more

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Meningitis is swelling of meninges. What causes the symptoms of meningitis? What is the swelling affecting?

Meningitis is swelling of meninges. What causes the symptoms of meningitis? What is the swelling affecting?

Inflamed membanes: Meningitis is an inflammation of the membranes surrounding the brain and spinal cord. It is usually due to an infectious agent, like a bacteria, virus or fungus. It can also rarely be caused by drugs. Symptoms often include fever, headache, stiff neck and sleepiness or lethargy. An evaluation of the cause is needed to guide treatment, which may involve antibiotics as well as supportive care. ...Read more

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Can inflammation of the meninges be caused by sleep apnea? Thanks.

Can inflammation of the meninges be caused by sleep apnea?  Thanks.

Sleep Apnea complica: Not to my awareness, but some complications are high blood pressure, cardiac & liver problems. ...Read more

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Differences between irritated meninges and inflamed meninges? - Do their symptoms present the same? I have possible meningeal irritation after a blood patch. Are there tests to know the difference?

Differences between irritated meninges and inflamed meninges? - Do their symptoms present the same? I have possible meningeal irritation after a blood patch. Are there tests to know the difference?

No difference: When you doctor uses the word irritated he's using a common word to approximate the meaning of inflammation, which is a medical term for a protective/reparative process that occurs when parts of the body have been infected or injured. The inflammatory response can involve white blood cells, lymphocytes, chemical mediators working together to remove injurious substances and heal the affected tissue ...Read more

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Does every layer of meninges have pain sensations? Cause i know brain parenchyma doesn't have any pain sensations

Does every layer of meninges have pain sensations? Cause i know brain parenchyma doesn't have any pain sensations

Generally, no: Of the 3 layers that cover and protect the brain, only the outer, dura mater (or "tough mother") has sensory nervers. The middle, arachnoid layer and closest, pia mater (or "intimate mother") are considered to not have sensory innervation. ...Read more

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Can meninges cause encephalitis as it is the brain's covering?

Can meninges cause encephalitis as it is the brain's covering?

Different diseases: Inflamed meninges is called meningitis. Encephalitis is swelling of the brain itself. Infectious causes might include viruses, bacteria, fungus, parasites, tuberculosis. Cancer can result in carcinomatous meningitis, and, in some cases, there can be meningoencephalitis, so can get very complex. So, clinical problems can involve brain fnctn directly and indirectly. ...Read more

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Help please? What is the treatment of inflammation of meninges caused by spinal fluid leakage?

Help please? What is the treatment of inflammation of meninges caused by spinal fluid leakage?

Tough ??: Inflammation of the meninges is generally a result of (and not a cause of) CSF leak. In fact, some inflammation in the presence of a leak may help seal the leak. Inflammation may also indicate infection however, so you should discuss with your doc. It also depends on the cause of the leak (post-op, spontaneous, post-trauma, etc.). Most leaks seal themselves, but there is a small risk of meningitis ...Read more

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Could you tell me what is the treatment of inflammation of meninges caused by spinal fluid leakage?

Could you tell me what is the treatment of inflammation of meninges caused by spinal fluid leakage?

Tough ??: Inflammation of the meninges is generally a result of (and not a cause of) CSF leak. In fact, some inflammation in the presence of a leak may help seal the leak. Inflammation may also indicate infection however, so you should discuss with your doc. It also depends on the cause of the leak (post-op, spontaneous, post-trauma, etc.). Most leaks seal themselves, but there is a small risk of meningitis ...Read more