In management of acute bacterial meningitis

In management of acute bacterial meningitis u said that fundus examination should be done daily to look for pappiledema
And then u said if pappiledema / increase ict signs present then after ruling out inctracranial lesions and other d/d by imaging technique we go for lumbar puncture
But sir aint high icp a c/i for lunbar puncture since it can lead to brainstem herniation and other complications ?

In a case of suspected acute bacterial meningitis, lumbar puncture is advised if there are no signs of ICT such as

•No papilledema

•No neurological deficit

•Maintained consciousness

If there are signs of raised ICT, imaging is done and antibiotics are started.

Thank you.