A Child with Stiff Neck

A Child with Stiff Neck

1. Ali, 2 year old boy brought to the ER with fever, vomiting, severe pain (no history of trauma)

2. MENINGITIS

   • Anatomy of the meninges
     • The primary function of the meninges and of the cerebrospinal fluid is to PROTECT the central nervous system.
       • 1) Pia matter
         • Pierced by blood vessels that travel to the brain and spinal cord.
           • 2) Arachnoid
             • The pia mater and arachnoid together are called the leptomeninges.
               • 3) Dura mater
                 • The dura mater surrounds and supports the large venous channels (dural sinuses) carrying blood from the brain toward the heart.

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