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Related Experiment Videos

Cauda equina syndrome complicating pneumococcal meningitis.

M Kikuchi1, K Nagao, Y Muraosa

  • 1Department of Pediatrics, Hitachi General Hospital, Ibaraki, Japan.

Pediatric Neurology
|March 19, 1999
PubMed
Summary
This summary is machine-generated.

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A 14-month-old girl with pneumococcal meningitis developed lumbosacral polyradiculopathy, leading to paralysis and loss of bladder/bowel control. Spinal MRI revealed characteristic cauda equina inflammation, confirming the diagnosis.

Area of Science:

  • Neurology
  • Pediatrics
  • Infectious Diseases

Background:

  • Pneumococcal meningitis can lead to serious neurological complications in children.
  • Lumbosacral polyradiculopathy is a rare but severe consequence affecting nerve roots.

Observation:

  • A 14-month-old female presented with acute flaccid paraplegia.
  • Symptoms included saddle anesthesia and significant bladder and bowel dysfunction.
  • Clinical presentation suggested involvement of the lower spinal cord and nerve roots.

Findings:

  • Magnetic resonance imaging (MRI) of the spine was performed.
  • MRI showed intense gadolinium enhancement of the cauda equina.
  • The conus medullaris remained unaffected, ruling out direct involvement.

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Implications:

  • The findings confirm lumbosacral polyradiculopathy as the cause of the patient's symptoms.
  • This highlights the importance of spinal MRI in diagnosing neurological complications of meningitis.
  • Early diagnosis and management are crucial for potential recovery in pediatric cases.