Dissecting Aneurysm of the Basilar Artery-A Rare Complication of Bacterial Meningitis in a Postoperative Case of CSF Rhinorrhea

Neurology India
Abhinith ShashidharArivazhagan Arimappamagan

Abstract

Basilar artery dissections are rare events which present with subarachnoid hemorrhage (SAH), brain ischemia, and usually have a fatal outcome. Few case reports of mycotic dissections are published in literature. We report a case of a young male who underwent surgical treatment for post-traumatic CSF rhinorrhea. He presented 3 years later with signs of bacterial meningitis. During medical management with antibiotic therapy, he developed basilar artery aneurysm in a span of 2 days, had subarachnoid hemorrhage and deteriorated. CSF culture grew alpha hemolytic streptococci. Despite medical management, he developed brain stem infarcts and succumbed. This report highlights a rare fatal complication of mycotic dissecting aneurysm of the basilar artery following meningitis, which developed acutely in hospital, while on treatment. Antibiotic therapy had not altered the course of disease. It is advisable to investigate for presence of ruptured mycotic aneurysms or dissection in cases of bacterial meningitis leading to SAH.

References

Apr 1, 1977·Journal of Neurosurgery·W F Bingham
Aug 1, 1992·Stroke; a Journal of Cerebral Circulation·J R PerryT Gray
May 1, 1972·Journal of Neurosurgery·C SuwanwelaC Hongsaprabhas
May 1, 1984·Archives of Neurology·M IgarashiJ T Jabbour
Feb 1, 1994·Surgical Neurology·E PozzatiM Casmiro

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bacterial Meningitis

Bacterial meningitis continues to be an important cause of mortality and morbidity throughout the world. Here is the latest research.

Bacterial Meningitis (ASM)

Bacterial meningitis continues to be an important cause of mortality and morbidity throughout the world. Here is the latest research.

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

Stroke; a Journal of Cerebral Circulation
J R PerryT Gray
Schweizer Archiv für Neurologie, Neurochirurgie und Psychiatrie = Archives suisses de neurologie, neurochirurgie et de psychiatrie
R CampicheE Zander
© 2021 Meta ULC. All rights reserved