Krafts Meningitis

Question 0

What area does the exudate collect strep pneumonia?

Answer 0

Basal and cortical

Question 1

What area does the exudate collect with H. Flu, TB, and cryptococcis?

Answer 1

Basal

Question 2

With what in infection does pus collect in the cisterna magnum?

Answer 2

Streptococcus pneumonia

Question 3

What happens if you have fast meningitis?

Answer 3

Neutrophils in the wall of vesicles (phlebitis)

Neutrophils of the parenchyma itself (cerebritis)

Question 4

What happens when exudate gets to a healing stage?

Answer 4

You get a collection of fibrillin which can block CSF

Question 5

What are some gross findings of TB meningitis?

Answer 5

Acts weird
Coats cranial nerves 
More chronic
Basal exudate that obliterates cisterns 
Rarely you see tuberculomas (collection of TB organisms with granulomas surrounding it)

Question 6

What does TB exudate look like?

Answer 6

More translucent than other exudate
Cloudy perhaps
Gelatinous
More organized

Question 7

What are some microscopic findings of TB?

Answer 7

Mononuclear cells in meninges not neutrophils
Granulomas
Obliterative endarteries (TB fills arteries)
Acid fast stains often positive

Question 8

What is common pathology of viral meningitis?

Answer 8

Aren’t as many gross findings
May be swollen
Maybe mild lymphocytic infiltration of meninges