(Prompt treatment is a must; Missed/delayed diagnoses can lead to death)
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Anti-tubercular therapy is best with isoniazid, Rifampin and pyrazinamide, the fourth drug is left to local choice
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The use of corticosteroids is in doubt: but they have been employed in cases of increased Intra-Ventricular pressure, due to change in consciousness, due to focal neurological findings, due to spinal block or due to tuberculous encephalopathy
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Ventricular drain shunt advised in obstructive hydrocephalus and those showing neurological deterioration
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Duration of Treatment
- The optimal duration of antimicrobial therapy is unclear.