PMID: 22576402May 12, 2012Paper

An adult case of pneumocephalus and pneumococcal meningitis associated with the sphenoid sinusitis

Internal Medicine
Yasuko OheNorio Tanahashi

Abstract

A 60-year-old man was admitted to our hospital after being found at his home in a comatose state. Cerebrospinal fluid and blood cultures were positive for Streptococcus pneumoniae. Brain magnetic resonance imaging (MRI) revealed sinusitis in the sphenoid sinus. Computed tomography demonstrated the presence of multiple air pockets in the basilar cistern, and we diagnosed pneumococcal meningitis complicated with pneumocephalus. Multiple cerebral infarctions were found on brain MRI after admission. In this case, pneumocephalus was secondary to pneumococcal meningitis due to sinusitis on admission, and multiple cerebral infarctions after admission. We demonstrated that early diagnosis is required for the successful treatment of pneumococcal meningitis.

Citations

Jun 14, 2013·Case Reports in Emergency Medicine·Shin AhnKyung Soo Lim
Oct 10, 2013·Age and Ageing·Martin FreyerJosef G Heckmann
Jun 21, 2013·Rinshō shinkeigaku = Clinical neurology·Takahiro HimenoMasaru Kuriyama
Mar 28, 2019·Case Reports in Radiology·Conor BarryDiane Bergin
Feb 20, 2020·BMJ Case Reports·Gustav StrandvikMuhammad Mohsin Khan
Feb 26, 2016·NMC Case Report Journal·Satoshi Matsuo, Kenichi Matsumoto
Nov 17, 2020·Curēus·Despoina LiourdiAndreas A Argyriou

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