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Multidisciplinary approach in the investigation and treatment of chronic meningitis: A systematic review of the literature and current guidelines

Fernandes ITGP;
Bezerra TRG;
Oliveira CWM;
Corsso Cd;
Bellolio JMA;
Leoni EA;
Caetano SA;
Torres LS;
Vieira V;
Filho CACS;
Andrade GB;
Miklós JPO;
Sallet VP;
Barros VCVO;
Farias YCJ;
Neto JLF

Ingridy Tayane Gonçalves Pires Fernandes

Thayanne Rysia Gomes Bezerra

Carlos Walmyr de Mattos Oliveira

Cristiane del Corsso

José Miguel Aiquel Bellolio

Elaine Aparecida Leoni

Solange Aparecida Caetano

Leandro Spalato Torres

Valdemir Vieira

Carlos Augusto da Conceição Sena Filho

Gabriel Barboza de Andrade

João Paulo Ortiz Miklós

Vinício Pires Sallet

Víctor César Vieira de Oliveira Barros

Yohan Cristhian de Jesus Farias

José Leite de Figueiredo Neto


Keywords

Chronic Meningitis
Multidisciplinary Approach
Diagnosis
Treatment

Abstract

This study presents a systematic review on chronic meningitis, an inflammatory condition of the membranes surrounding the brain and spinal cord, with potential for severe neurological complications and risk of fatality if not properly treated. We employed a rigorous methodology, including a comprehensive review of the literature in reputable databases such as PubMed, Scopus, Web of Science, Cochrane Library, and Embase. Inclusion and exclusion criteria were stringent to ensure the selection of relevant and high-quality studies. The analysis of selected studies revealed several underlying causes of chronic meningitis, ranging from infections to malignant neoplasms, autoimmune disorders, chemical meningitis, and parameningeal infections. Clinical manifestations are diverse and may include persistent headache, hydrocephalus, cranial nerve damage, spinal nerve damage, and cognitive alterations. Accurate diagnosis is crucial and is based on cerebrospinal fluid (CSF) analysis, involving a series of laboratory and microbiological tests. The importance of a multidisciplinary approach in the management of chronic meningitis is emphasized, which should involve clinicians, neurologists, microbiologists, and pathologists. Early identification of the specific cause and implementation of appropriate treatment are fundamental to improving clinical outcomes. Empirical therapy may be necessary in cases of uncertain diagnosis, but adjustments should be made based on clinical evolution and test results. We conclude that interdisciplinary collaboration and continuous updating of clinical practice are essential for the effective management of chronic meningitis. Future research should focus on the development of faster and more accurate diagnostic techniques, as well as more effective therapeutic strategies, aiming to significantly improve the quality of life of patients affected by this debilitating condition.

 

DOI:https://doi.org/10.56238/sevened2024.012-026


Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Copyright (c) 2024 Ingridy Tayane Gonçalves Pires Fernandes , Thayanne Rysia Gomes Bezerra , Carlos Walmyr de Mattos Oliveira, Cristiane del Corsso, José Miguel Aiquel Bellolio, Elaine Aparecida Leoni, Solange Aparecida Caetano, Leandro Spalato Torres, Valdemir Vieira, Carlos Augusto da Conceição Sena Filho, Gabriel Barboza de Andrade, João Paulo Ortiz Miklós, Vinício Pires Sallet, Víctor César Vieira de Oliveira Barros, Yohan Cristhian de Jesus Farias, José Leite de Figueiredo Neto

Author(s)

  • Ingridy Tayane Gonçalves Pires Fernandes
  • Thayanne Rysia Gomes Bezerra
  • Carlos Walmyr de Mattos Oliveira
  • Cristiane del Corsso
  • José Miguel Aiquel Bellolio
  • Elaine Aparecida Leoni
  • Solange Aparecida Caetano
  • Leandro Spalato Torres
  • Valdemir Vieira
  • Carlos Augusto da Conceição Sena Filho
  • Gabriel Barboza de Andrade
  • João Paulo Ortiz Miklós
  • Vinício Pires Sallet
  • Víctor César Vieira de Oliveira Barros
  • Yohan Cristhian de Jesus Farias
  • José Leite de Figueiredo Neto