Literature DB >> 19216218

Evidence for frequent focal and diffuse acute axonal injury in human bacterial meningitis.

J Gerber1, R-C Seitz, S Bunkowski, W Brück, R Nau.   

Abstract

AIMS: We aimed at quantifying acute axonal injury in victims of bacterial meningitis.
METHODS: The brains of 26 autopsies with bacterial meningitis and of 10 control cases were studied by histology and quantitative immunohistochemistry for amyloid-beta precursor protein (APP).
RESULTS: Mild to severe axonal injury in the white matter was present in 25 of 26 victims of meningitis. The area of axonal damage ranged from 0.0% to 1.38% (median = 0.08%, mean = 0.36%) of the total area studied in each individual case. In 4 of 10 age- and sex-matched control brains small areas also stained for APP (p = 0.0007). Axonal injury in meningitis was most prominent in the basal ganglia and pons, followed by the hippocampal formation, neocortex and the cervical spinal cord. The cerebellum was least affected.
CONCLUSION: Axonal injury is a frequent complication of bacterial meningitis probably contributing to long-term sequelae in survivors.

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Year:  2009        PMID: 19216218     DOI: 10.5414/npp28033

Source DB:  PubMed          Journal:  Clin Neuropathol        ISSN: 0722-5091            Impact factor:   1.368


  6 in total

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Journal:  medRxiv       Date:  2021-02-18
  6 in total

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