Postoperative meningitis is a rare complication after spinal surgery, however it may cause severe sequelae including death. Twyman et al. reported an incidence of 0.18% after 2,180 spinal surgeries [1]. In our series, the incidence of postoperative meningitis is 0.10% (21 of 20,178 surgeries).

Is meningitis common after brain surgery?

Meningitis is an infrequent but serious complication of craniotomy procedures, affecting some 1.5–4% of patients [1, 2]. Bacteria, most often Gram-negative bacilli or staphylococci, can sometimes be cultured from the cerebrospinal fluid (CSF).

What causes meningitis after surgery?

Postoperative meningitis can be caused by staphylococci and aerobic Gram-negative bacilli (including P aeruginosa). Therefore, vancomycin in addition to either cefepime, ceftazidime, or meropenem is recommended as empirical antimicrobial therapy for adult patients with BM post-surgery.

What causes meningitis after brain surgery?

Chemical meningitis is another rare form of meningitis. The inflammation of the meninges in these cases is the result of irritation by chemicals and usually occurs after surgery or other invasive treatments and procedures on the brain or spine.

What surgery can cause meningitis?

Postoperative meningitis is a rare complication after spinal lumbar surgery. A high index of suspicion for meningitis should be maintained in patients with the clinical triad of fever, neck stiffness, and consciousness disturbance after spinal surgery. Intraoperative incidental durotomy is the most important predictor.

Who is generally at highest risk for meningitis?

Anyone can get meningococcal disease, but rates of disease are highest in children younger than 1 year old, with a second peak in adolescence. Among teens and young adults, those 16 through 23 years old have the highest rates of meningococcal disease.

Can meningitis give you brain damage?

With quick treatment, many people with bacterial meningitis don’t have any permanent problems. However, even with prompt treatment, some may battle seizures, brain damage, hearing loss, and disability for the rest of their lives. Meningitis can be fatal and some people with this infection will die.

Can meningitis damage nerves?

Because acute bacterial meningitis can lead to permanent brain or nerve damage or death within hours, treatment is started as soon as possible, without waiting for the results of diagnostic tests and often before a spinal tap is done.