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Management

Management. Elevate head and body by 30 degrees to optimize venous drainage Reduce fever and control hyperglycemia Maintain osmolarity at 305-315 mOsm /L Prevent seizures. Specific measures include: Hyperventilation Mannitol

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Management

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  1. Management

  2. Elevate head and body by 30 degrees to optimize venous drainage • Reduce fever and control hyperglycemia • Maintain osmolarity at 305-315 mOsm/L • Prevent seizures

  3. Specific measures include: • Hyperventilation • Mannitol • 1-2g/kg for severely increased pressure, followed by 50-300mg/kg q6 • Corticosteroid • Ventricular drainage • Primary disorder should be treated

  4. General approach on brain tumors: • Craniotomy • Stereotactic techniques • Radiosurgery • Shunts

  5. Management of Meningitis • Fungal meningititis: • long course of high dose antifungals, such as amphotericin B and flucytosine • TB meningitis: • Isoniazid, rifampicin, pyrazinamide and ethambutol for 2 months, followed by isoniazidanfrifampicin alone for a further ten months • Steroids are always used in the first six weeks of treatment

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