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Previous Volume 352:512-515 February 3, 2005 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In a study of adults with bacterial meningitis, van de Beek et al. (Oct. 28 issue)¹ noted the following: 14 percent were comatose on admission, those with opening pressures above 400 mm of water were more likely to be admitted in a coma (24 percent, vs. 11 percent of those with lower opening pressures), and a low score on the Glasgow Coma Scale was a strong predictor of an unfavorable outcome in the multivariate analysis. The authors state, "In those with moderate or severe impairment of consciousness . . ., lumbar puncture should be preceded by cranial . . . [Full Text of this Article]

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