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Percutaneous transluminal angioplasty in a patient with vasospasm due to staphylococcal meningitis

David Buechner1, Michael S Gelfand, Kerry O Cleveland

  • 1Department of Radiology, Methodist Healthcare of Memphis, University of Tennessee Health Science Center, Memphis, TN 38104, USA.

Journal of Neurosurgery
|May 15, 2012
PubMed

Insights

Bacterial meningitis can cause unusual arterial large vessel vasculopathy, leading to stroke. This case study shows successful treatment using percutaneous intracranial intervention, improving neurological deficits.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Infectious Diseases

Background:

  • Bacterial meningitis can lead to arterial large vessel vasculopathy.
  • This complication may cause cerebral ischemia and severe neurological deficits.
  • Current treatments focus on antimicrobials, lacking specific vascular interventions.

Observation:

  • A case of bacterial meningitis with associated vasculopathy and neurological deficits is presented.

Findings:

  • Percutaneous intracranial intervention was successfully employed.
  • The intervention led to both anatomical and functional improvement in the patient.

Implications:

  • Percutaneous intracranial intervention offers a potential therapeutic strategy for bacterial meningitis-induced vasculopathy.
  • This approach may improve outcomes for patients experiencing severe neurological sequelae.
  • Further research into endovascular techniques for managing infectious vasculitis is warranted.

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