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Published on: November 20, 2015
Severe progressive late onset myelopathy and arachnoiditis following neonatal meningitis
Christian G E L de Goede1, Philip E Jardine, Paul Eunson
1Royal Manchester Children's Hospital, Hospital Road, Pendlebury, Manchester M27 4HA, UK. cdegoede@doctors.org.uk
Abstract:
This case series describes four children who had meningitis in the neonatal period. After a stable period of years, they developed a myelopathy caused by chronic arachnoiditis. The myelopathy was precipitated by a fall in two cases, and in two cases there was an acute deterioration after surgery. A history of neonatal meningitis should be taken into consideration before planning surgery or anaesthesia. Careful intra-operative positioning, immobilisation of the neck, and maintenance of blood pressure is important but may not prevent this complication.
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