Patients rarely appear acutely ill
Classic triad of headache, fever, AND focal neuro deficit is present in <33%
Headache is most common symptom (present in almost all cases)
Fever (~50% of patients)
Focal neuro symptoms or seizure (~33% of patients)
Neck stiffness (<50% of patients)
Signs of increased ICP: papilledema, vomiting, confusion, obtundation (50% of patients)
Headache is most common symptom (present in almost all cases)
Fever (~50% of patients)
Brain abscess
CVA
Subdural empyema
Meningitis, encephalitis
Coma
Malignancy
Encephalitis
Intracranial hemorrhage