What should be done about tuberculous meningitis in the elderly?

Patient's question:

My grandmother is getting older. She is over 70 years old and has tuberculous meningitis. What should we do? Can tuberculous meningitis be treated? Does it require surgery? She is so old, and I don't want her to have surgery. Is there any way to alleviate it?

Doctor's answer:

After a thorough examination and diagnosis, the patient was found to have tuberculous meningitis, which does not require surgical treatment. The main treatment option is antitubercular medication (such as isoniazid, rifampicin, ethambutol tablets, etc.), adhering to the comprehensive treatment principles of early administration, appropriate drug selection, combined medication, and systematic treatment. For patients with tuberculous meningitis who have increased intracranial pressure due to cerebral edema, corticosteroid drugs should be used in combination to reduce cerebral edema symptoms. At the same time, bed rest is required, and the indoor environment must always be kept clean and hygienic.

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