Meningococcal Meningitis With Brainstem Infarction

Beek, Diederik van de; Patel, Robin; Wijdicks, Eelco F. M.

doi:10.1001/archneur.64.9.1350

Cited by 13 publications

(5 citation statements)

References 3 publications

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“…Resulting brain infarctions contribute significantly to the unfavourable clinical outcome [6]. Brain infarction has been reported in bacterial meningitis caused by Streptococcus pneumoniae [5], Neisseria meningitidis [13], Haemophilus influenzae [4], Staphylococcus aureus [1], and other pathogens. Territorial infarcts, subcortical lacunar infarcts as well as haemorrhagic venous infarcts have been identified [6,7].…”

Section: Introductionmentioning

confidence: 99%

Cerebral infarction in bacterial meningitis: predictive factors and outcome

et al. 2009

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In this study, we analysed the frequency, morphological patterns and clinical characteristics of cerebral ischaemia in bacterial meningitis. We sought to determine predictors for the development of vasculopathy and ischaemic infarction in patients with bacterial meningitis. Consecutive adult patients admitted between March 1998 and February 2009 to a neurological intensive care unit at a university hospital in Germany with the diagnosis of bacterial meningitis were included in the study. Standard criteria were used to define bacterial meningitis. From 68 patients with bacterial meningitis, six patients suffered from cerebral ischaemia (8.8%). In our cohort, reduced level of consciousness on admission (p = 0.01) and lower white blood cell (WBC) count in cerebrospinal fluid (CSF) (p = 0.012) were associated with development of ischaemic cerebrovascular complications. The short-term outcome of all patients was poor (median modified Rankin scale 4.5). In patients presenting with reduced level of consciousness on admission and/or low WBC count in CSF early cerebral imaging including MR angiography or CT angiography are warranted to detect impending cerebrovascular complications.

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Section: Introductionmentioning

confidence: 99%

Cerebral infarction in bacterial meningitis: predictive factors and outcome

et al. 2009

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“…Infarctions may be localized to the deep gray and white matter including the basal ganglia, internal capsule, and thalamus, may involve entire vascular territories, or may be multifocal and primarily cortical. Brainstem infarctions may also occur [3,5,6]. Venous disease comprises major venous sinus thrombosis, including the cavernous sinus, smaller cortical vein thrombosis, and deep cerebral vein thrombosis.…”

Section: Discussionmentioning

confidence: 99%

A case of bacterial meningitis complicated by venous sinus thrombosis

Xie

Feng

et al. 2014

Neurol Sci

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“…90,98 Brainstem and cerebellar infarcts are rare. 99 Venous infarctions can involve any of the major sinuses or smaller cortical veins. 3 Angiographic abnormalities are frequently seen in patients with ABM, reported to be as high as 50% in one series.…”

Section: Imagingmentioning

confidence: 99%

Infectious Etiologies of Stroke

Shulman

Cervantes‐Arslanian

2019

Semin Neurol

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Central nervous system (CNS) infections are a frequently underappreciated potential etiology of cerebrovascular disease. Highlighted in this review are a selection of infectious agents that lead to cerebrovascular complications through various mechanisms including multifocal vasculopathy, focal infiltrative vasculitis and vasospasm, and direct vessel wall invasion and thrombus formation. Diagnosis of stroke due to underlying CNS infection requires a high index of clinical suspicion and careful consideration of neuroimaging, serum, and cerebrospinal fluid studies in addition to a detailed history and neurologic examination. Prompt and targeted treatment is essential in these conditions, which frequently herald a poor prognosis. Specifically, cerebrovascular complications associated with varicella zoster virus, syphilis, tuberculosis, aspergillosis, and acute bacterial meningitis are addressed here in detail.

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Meningococcal Meningitis With Brainstem Infarction

Cited by 13 publications

References 3 publications

Cerebral infarction in bacterial meningitis: predictive factors and outcome

Cerebral infarction in bacterial meningitis: predictive factors and outcome

A case of bacterial meningitis complicated by venous sinus thrombosis

Infectious Etiologies of Stroke

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