Main object :
Finding the cause and treat it .
There is often no specific therapy.
Sometimes the patients were brought in irreversible condition.
Specific and supportive therapy.
Necessary treatment must be given immediately, even before all the diagnostic steps have been completed.
Diagnosis and treatment have to proceed concurrently.

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Diseases that cause meningeal irritation, usually without focal or lateralizing neurologic signs. CT Scan or MRI maybe normal or abnormal.
1. Subarachnoid hemorrhage.
2. Meningitis.
3. Encephalitis
Diseases that cause focal or lateralizing neurologic signs. CT scan and MRI usually abnormal.
1. Brain hemorrhage or massive infarction.
2. Brainstem infarction.
3. Brain abscess.
4. Epidural and subdural hemorrhage, [...]

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Diseases that cause no focal or lateralizing neurologic signs, usually with normal brainstem functions.
CT scan and cellular content of the CSF are normal.
1. Intoxication.
Alcohol, barbiturates, sedative, opiates.
2. Metabolic disturbances.
Anoxia, diabetic acidosis, hypoglycemia, uremia, hepatic failure, hypo and hypernatremia, profound nutritional deficiency.
3. Severe systemic [...]

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