What are the main characteristics of tuberculous meningitis in the middle stage

Patient's question:

Recently, I don't know why I can't sleep, which greatly affects my work efficiency. My friend recommended checking with the neurology department. What are the main characteristics of tuberculous meningitis in the middle stage?

Doctor's answer:

According to your statement, the mid-stage clinical manifestations of infantile meningitis are the meningeal irritation stage, primarily characterized by symptoms of increased intracranial pressure, such as projectile vomiting, progressive headache, anorexia, and altered consciousness. The meningeal irritation signs in infants include a bulging anterior fontanelle, weakened or absent abdominal reflexes, and increased tendon reflex tension. It is recommended to conduct a careful examination for Mycobacterium tuberculosis and a thorough cerebrospinal fluid analysis to further confirm the etiology and formulate an appropriate treatment plan.

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