Coma in fulminant pneumococcal meningitis : New MRI observations

We report a 45-year-old man with fulminant pneumococcal meningitis. Fluid attenuated inverse ratio MR images showed the ravaging consequences of occlusive vasculopathy and a transient purulent basal exudate. Bilateral thalamic lesions may have explained the failure to awaken despite appropriate anti...

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Veröffentlicht in:	Neurology 1998-10, Vol.51 (4), p.1200-1202
Hauptverfasser:	VERNINO, S, WIJDICKS, E. F. M, MCGOUGH, P. F
Format:	Artikel
Sprache:	eng
Schlagworte:	Arterial Occlusive Diseases - diagnosis Arterial Occlusive Diseases - etiology Arterial Occlusive Diseases - microbiology Bacterial diseases Biological and medical sciences Cerebral Arteries Cerebral Infarction - diagnosis Cerebral Infarction - etiology Cerebral Infarction - microbiology Coma - diagnosis Coma - microbiology Exudates and Transudates - microbiology Human bacterial diseases Humans Infectious diseases Magnetic Resonance Imaging Male Medical sciences Meningitis, Pneumococcal - complications Meningitis, Pneumococcal - diagnosis Middle Aged Staphylococcal infections, streptococcal infections, pneumococcal infections
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Zusammenfassung:	We report a 45-year-old man with fulminant pneumococcal meningitis. Fluid attenuated inverse ratio MR images showed the ravaging consequences of occlusive vasculopathy and a transient purulent basal exudate. Bilateral thalamic lesions may have explained the failure to awaken despite appropriate antibiotic therapy.
ISSN:	0028-3878 1526-632X
DOI:	10.1212/WNL.51.4.1200