Computed tomography of the head before lumbar puncture in adults with suspected meningitis

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Landmark Article?: 
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Journal Name: 
EJM
Year Published: 
2001
Article Keywords: 
lumbar pucture, meningitis, CT scan
Article Brief Summary: 

The article on who to CT before an LP for meningitis, adults only.
Bottom line: Can do LP without Ct scans in those age <60, no seizures in the previous week, not immunocompromised, no prior hx of CNS disease AND normal neuro exam, which they defined as normal level of consciousness; able to answer two consecutive questions or follow two consecutive commands; no gaze palsies; no visual field deficit; no focal weakness (CN or extremities); normal language. I thought o papilledema was here as well, but glancing at it now cannot find it.