A case of pneumococcal meningitis with reversible arterial stenosis

Rinshō shinkeigaku = Clinical neurology
Shinji KitsukiYoshihisa Fukushima

Abstract

A 72-year-old male was diagnosed pneumococcal meningitis and we started treatment with antibacterial drugs and corticosteroids. On the 6th day, his consciousness level decreased. On the 7th day DWI of MRI showed a new infarction in bilateral cerebellar, and MRA showed multiple arterial stenosis. On the 12th day, CT angiography showed expansion of cerebral infarction and progress of diffuse stenosis. After that the stenosis improved over time, it disappeared on the 39th day. These results suggest that vasospasm is involved in the pathology of vascular stenosis.

References

Apr 12, 2003·Brain : a Journal of Neurology·Stefan Kastenbauer, Hans-Walter Pfister
Oct 29, 2004·The New England Journal of Medicine·Diederik van de BeekMarinus Vermeulen
Jun 8, 2010·Neurocritical Care·Mervyn D I VergouwenDiederik van de Beek
Mar 25, 2014·Journal of the Neurological Sciences·Ather TaquiGabor Toth
Mar 24, 2016·Acta Neuropathologica Communications·Joo-Yeon Engelen-LeeDiederik van de Beek
Aug 24, 2019·Neurologia i neurochirurgia polska·Jason Siegel

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