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Neurolisteriosis causing hydrocephalus, trapped fourth ventricle, hindbrain herniation and syringomyelia

M Dhiwakar1, S Basu, R Ramaswamy

  • 1Department of Neurosurgery, Walton Centre for Neurology & Neurosurgery, Liverpool, UK.

British Journal of Neurosurgery
|February 11, 2005
PubMed

Insights

Listeria monocytogenes can cause severe central nervous system infections. This case highlights rare, progressive neurological complications following listeria meningoencephalitis, including hydrocephalus and hindbrain herniation.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Neuroscience

Background:

  • Central nervous system (CNS) infections by Listeria monocytogenes are infrequent but associated with high morbidity and mortality.
  • Listeria monocytogenes poses a significant threat, particularly to vulnerable populations, necessitating a thorough understanding of its neurological impact.

Observation:

  • A unique case of listeria meningoencephalitis is presented, detailing the acute illness.
  • The patient developed a rare cluster of severe, progressive neurological sequelae post-infection.

Findings:

  • The observed neurological complications included supratentorial hydrocephalus, aqueduct block, trapped fourth ventricle, hindbrain herniation, and syringomyelia.
  • These sequelae represent a previously unreported combination following Listeria monocytogenes CNS infection.

Implications:

  • This case expands the understanding of potential long-term neurological damage from Listeria monocytogenes infections.
  • Further research into the pathogenesis of these specific sequelae is warranted to guide clinical management and improve patient outcomes.

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