BACKGROUND: Pneumococcal meningitis in adults is widely associated with intracranial complications, which occur in up to 74.7% of the patients. METHOD: Case report. RESULTS: We report the case of a 40-year-old white female with pneumococcal meningitis after a sinus surgery, who developed a concomitant cerebral venous thrombosis and multiple cervical artery dissections. Following treatment with antibiotics and intravenous heparin, she had complete neurological recovery. CONCLUSIONS: Vascular complications should always be remembered and adequately treated in patients with bacterial meningitis. Cervical arterial dissections should be investigated as potential embolic sources of intracranial ischemic lesions.
BACKGROUND:Pneumococcal meningitis in adults is widely associated with intracranial complications, which occur in up to 74.7% of the patients. METHOD: Case report. RESULTS: We report the case of a 40-year-old white female with pneumococcal meningitis after a sinus surgery, who developed a concomitant cerebral venous thrombosis and multiple cervical artery dissections. Following treatment with antibiotics and intravenous heparin, she had complete neurological recovery. CONCLUSIONS: Vascular complications should always be remembered and adequately treated in patients with bacterial meningitis. Cervical arterial dissections should be investigated as potential embolic sources of intracranial ischemic lesions.
Authors: Martijn Weisfelt; Diederik van de Beek; Lodewijk Spanjaard; Johannes B Reitsma; Jan de Gans Journal: Lancet Neurol Date: 2006-02 Impact factor: 44.182
Authors: B Tettenborn; L R Caplan; M A Sloan; C J Estol; M S Pessin; L D DeWitt; C Haley; T R Price Journal: Neurology Date: 1993-03 Impact factor: 9.910
Authors: Manna S Jacob; Karthik Gunasekaran; Angel T Miraclin; Mohammad Sadiq; C Vignesh Kumar; Ajoy Oommen; Maria Koshy; Ajay Kumar Mishra; Ramya Iyadurai Journal: Ann Indian Acad Neurol Date: 2020-08-14 Impact factor: 1.383