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Published on: February 23, 2014
Pneumococcal meningitis, cerebral venous thrombosis, and cervical arterial dissection: a run of bad luck?
Mauricio Isaac Panicio1, Renato Demarchi Foresto, Lucas Mateus
1Department of Neurology and Neurosurgery, Federal University of São Paulo-UNIFESP, SP, Brazil.
Background:
Pneumococcal meningitis in adults is widely associated with intracranial complications, which occur in up to 74.7% of the patients.
Method:
Case report.
Results:
We report the case of a 40-year-old white female with pneumococcal meningitis after a sinus surgery, who developed a concomitant cerebral venous thrombosis and multiple cervical artery dissections. Following treatment with antibiotics and intravenous heparin, she had complete neurological recovery.
Conclusions:
Vascular complications should always be remembered and adequately treated in patients with bacterial meningitis. Cervical arterial dissections should be investigated as potential embolic sources of intracranial ischemic lesions.
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