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Symptomatic hydrocephalus and reversible spinal cord compression in Listeria monocytogenes meningitis. Case report
E C Raps1, D H Gutmann, J R Brorson
1Department of Neurology, Graduate Hospital Philadelphia, Pennsylvania.
Abstract:
Central nervous system infections with Listeria monocytogenes result in varied clinical syndromes ranging from meningitis to rhomboencephalitis. A case of Listeria meningitis complicated by symptomatic communicating hydrocephalus and hydrostatic cervical cord compression is presented which clinically and radiographically improved with aggressive ventricular drainage.
Insights
Listeria monocytogenes can cause serious central nervous system infections. Aggressive ventricular drainage effectively treated a complex case of Listeria meningitis with hydrocephalus and cord compression.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Central nervous system (CNS) infections caused by Listeria monocytogenes present with diverse clinical manifestations, including meningitis and rhomboencephalitis.
- Listeria meningitis is a severe infection requiring prompt diagnosis and management.
Observation:
- A patient presented with Listeria meningitis.
- The meningitis was complicated by symptomatic communicating hydrocephalus and hydrostatic cervical cord compression.
Findings:
- The patient experienced clinical and radiographic improvement.
- This improvement was achieved through aggressive ventricular drainage.
Implications:
- Early and aggressive management, including surgical intervention like ventricular drainage, can be crucial for favorable outcomes in complicated CNS infections.
- This case highlights the importance of considering and managing secondary complications of CNS infections.