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Cranial nerve palsies in Streptococcus pneumoniae meningitis
M L Chu1, N Litman, D M Kaufman
1Department of Neurology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10467.
Pediatric Neurology
|May 1, 1990
Summary
Cranial nerve palsies are rare in bacterial meningitis. This case highlights Streptococcus pneumoniae meningitis presenting with multiple cranial nerve palsies and cerebellar signs, suggesting basilar meningitis.
Area of Science:
- Neurology
- Infectious Diseases
- Bacteriology
Background:
- Nontuberculous bacterial meningitis is a serious infection affecting the central nervous system.
- Cranial nerve palsies are infrequent complications of bacterial meningitis.
Observation:
- A patient presented with symptoms indicative of basilar meningitis, including cerebellar signs.
- The patient was diagnosed with Streptococcus pneumoniae meningitis.
Findings:
- The patient exhibited multiple cranial nerve palsies, an uncommon finding in nontuberculous bacterial meningitis.
- The clinical presentation suggested involvement of the base of the brain.
Implications:
- This case underscores the importance of considering nontuberculous bacterial meningitis in the differential diagnosis of basilar meningitis.
- Recognition of cranial nerve palsies in this context can aid in timely diagnosis and treatment.