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2007 | 2 | 1 | 122-127
Tytuł artykułu

Meningococcal meningitis with myelopathy: case report and review of literature

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Neisseria meningitis is a common etiological agent in bacterial meningitis in humans. Common complications associated with meningococcal meningitis include cranial nerve palsies, hydrocephalus, seizures, stroke, cerebritis or brain abscesses. Spinal cord dysfunction is a very rare complication of meningococcal meningitis and its occurrence is limited to case reports only. We report such a case along with a review of available literature and underlying pathogenetic mechanisms. Case report: Our patient diagnosed as a case of meningococcal meningitis developed multiple cranial nerve palsies followed by flaccid paraplegia with bowel bladder involvement during the recovery phase of the disease. Spine MRI showed mild cord edema and diffuse patchy areas of altered intramedullary signal intensity in dorsal cord suggestive of myelitis. The patient was treated with antibiotics and intravenous methyl-prednisolone along with supportive physiotherapy. His neurological deficits showed marked improvement on subsequent follow up.
Wydawca

Czasopismo
Rocznik
Tom
2
Numer
1
Strony
122-127
Opis fizyczny
Daty
wydano
2007-03-01
online
2007-03-01
Twórcy
autor
  • Department of Medicine, Maulana Azad Medical College, New Delhi, 110002, India
  • Department of Medicine, Maulana Azad Medical College, New Delhi, 110002, India
autor
  • Department of Medicine, Maulana Azad Medical College, New Delhi, 110002, India
autor
  • Department of Medicine, Maulana Azad Medical College, New Delhi, 110002, India
  • Department of Medicine, Maulana Azad Medical College, New Delhi, 110002, India
autor
  • Department of Medicine, Maulana Azad Medical College, New Delhi, 110002, India
Bibliografia
  • [1] R.A. Gotshall: “Conus medullaris syndrome after meningococcal meningitis’, N. Engl. J. Med., Vol. 286, (1972), pp. 882–883.
  • [2] S.S. Swart and I.F. Pye: “Spinal cord ischaemia complicating meningococcal meningitis”, Postgrad. Med. J., Vol. 56(659), (1980), pp. 661–662.
  • [3] F. Graus, T. Arbizu and G. Ruyfi: “Partial Brown-Sequard’s syndrome and meningococcal meningitis”, Arch. Neurol., Vol. 38(9), (1981), p. 602.
  • [4] J. Khan, I. Altafullah and M. Ishaq: “Spinal cord dysfunction complicating meningococcal meningitis”, Postgrad. Med. J., Vol. 66(774), (1990), pp. 302–303. http://dx.doi.org/10.1136/pgmj.66.774.302[Crossref]
  • [5] K.C. Khare, U. Masand and A. Vishnar: “Transverse myelitis-a rare complication of meningococcal meningitis”, J. Assoc. Physicians. India, Vol. 38(2), (1990), p. 188.
  • [6] R. O’Farrell, J. Thornton, P. Brennan, F. Brett and A.J. Cunningham: “Spinal cord infarction and tetraplegia-rare complications of meningococcal meningitis”, Br. J. Anaesth., Vol. 84(4), (2000), pp. 514–517.
  • [7] S. Kastenbauer, F. Winkler and G. Fesl: “Acute severe spinal cord dysfunction in bacterial meningitis in adults: MRI findings suggest extensive myelitis”, Arch. Neurol., Vol. 58(5), (2001), pp. 806–810. http://dx.doi.org/10.1001/archneur.58.5.806[Crossref]
  • [8] A.K. Bhojo, N. Akhter, R. Bakshi and M. Wasay: “Thoracic myelopathy complicating acute meningococcal meningitis: MRI findings”, Am. J. Med. Sci., Vol. 323(5), (2002), pp. 263–265. http://dx.doi.org/10.1097/00000441-200205000-00006[Crossref]
  • [9] A.R. Seay: “Spinal cord dysfunction complicating bacterial meningitis”, Arch. Neurol., Vol. 41, (1984), pp. 545–546
  • [10] K.H. Choi, K.S. Kee and S.O. Chung: “Idiopathic transverse myelitis: MR characteristics”, Am. J. Neuroradiol., Vol. 17, (1996), pp. 1151–1160.
  • [11] S. Holtas, D. Hudgkins and K.R. Krishnan: “MRI in acute transverse myelopathy”, Neuroradiology, Vol. 35, (1983), pp. 221–226. http://dx.doi.org/10.1007/BF00588501[Crossref]
  • [12] J.M.K. Murthy, J.J. Reddy and A.K. Meena: “Acute transverse myelitis: MR characteristics”, Neurol. India, Vol. 4, (1999), pp. 290–293.
  • [13] D.R. Jeffery, R.N. Mandler and L. Davis: “Transverse myelitis: retrospective analysis of 33 cases with differentiation of cases associated with multiple sclerosis and parainfectious events”, Arch. Neurol., Vol. 50, (1993), pp. 532–535.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-007-0002-x
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