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Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
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Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
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Induction of Leptomeningeal Cells Modification Via Intracisternal Injection
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Bilateral multiple level lateral meningocoele.

B E Panil Kumar1, Kishor V Hegde, G Lalitha Kumari

  • 1Department of Radio-Diagnosis, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India.

Journal of Clinical Imaging Science
|April 23, 2013
PubMed
Summary

Lateral meningocoele, a rare spinal disorder, involves extensions of the dura and arachnoid through enlarged neural foramina. This case highlights multiple bilateral meningocoeles in a young female, managed conservatively.

Keywords:
Lateral meningocelemultiple menigocoelespinal dysraphism

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Area of Science:

  • Neurosurgery
  • Radiology
  • Genetics

Background:

  • Lateral meningocoele is an exceptionally rare congenital disorder.
  • It is characterized by extensions of the dura mater and arachnoid mater through enlarged neural foramina.
  • This condition can be associated with connective tissue disorders and spinal deformities.

Observation:

  • A 23-year-old female presented with spinal deformity and low back pain.
  • She had no neurological deficits.
  • Whole spine magnetic resonance imaging (MRI) was performed.

Findings:

  • MRI revealed multiple, well-defined, bilateral cystic masses at the dorsal, lumbar, and sacral spinal levels.
  • Dural ectasia and significant neural foraminal widening were noted.
  • The findings were consistent with bilateral, multiple-level lateral meningocoele.

Implications:

  • This case expands the understanding of the varied presentations of lateral meningocoele.
  • Conservative management with regular follow-up is a viable approach for asymptomatic or minimally symptomatic cases.
  • Further research into the genetic and developmental factors underlying this rare condition is warranted.