Recurrent Streptococcus Pneumoniae Meningoencephalitis in a Patient With a Transethmoidal eningoencephalocele
Journal of Clinical Neurology
;
: 40-44, 2008.
Article
Dans Anglais
| WPRIM
| ID: wpr-126845
ABSTRACT
We report a case of recurrent Streptococcus Pneumoniae meningoencephalitis with a transethmoidal meningoencephalocele (TEME) but without cerebrospinal fluid (CSF) leakage. A 35-year-old man was admitted with S. pneumoniae meningitis. He had suffered from four episodes of recurrent pneumococcal meningitis during the previous 4 years. A computed tomography scan of the paranasal sinus showed the TEME protruding through a bony defect of the right frontal base. However, the patient did not have symptoms that could be attributable to CSF leakage, and radioisotope cisternography did not identify a leak. Brain magnetic resonance imaging revealed cortical lesions overlying the TEME, and electroencephalography revealed epileptiform discharges in frontal regions. Appropriate antibiotics therapy without steroids was given to improve his condition. The presented case suggests that even in the absence of clinically demonstrable CSF leakage, an occult skullbase defect and its associated meningoencephalocele should be considered in patients with recurrent bacterial meningitis.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pneumopathie infectieuse
/
Stéroïdes
/
Streptococcus
/
Streptococcus pneumoniae
/
Encéphale
/
Imagerie par résonance magnétique
/
Méningite bactérienne
/
Électroencéphalographie
/
Méningite
/
Méningite à pneumocoques
Limites du sujet:
Adulte
/
Humains
langue:
Anglais
Texte intégral:
Journal of Clinical Neurology
Année:
2008
Type:
Article
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