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Cerebral Venous Sinus Thrombosis in a Patient with Meningococcal Meningitis

Sudhir Kumar Palat Chirakkara1, Abdul Rahim Ali Bakhsh2, Aparna Kalyani Pariyadath3

  • 1Department of Neurology, Mafraq Hospital, Abu Dhabi, UAE.

Oman Medical Journal
|February 23, 2018
PubMed

Insights

Cerebral venous sinus thrombosis (CVST) is a rare neurological complication of meningococcal meningitis. Management is challenging due to potential bleeding risks associated with altered coagulation in meningococcemia.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Hematology

Background:

  • Meningococcal meningitis, caused by *Neisseria meningitidis*, can lead to various neurological complications.
  • Cerebral venous sinus thrombosis (CVST) is an infrequently reported neurological sequela of meningococcal meningitis.

Observation:

  • A case study of a 42-year-old male with meningococcal meningitis is presented.
  • The patient presented with symptoms indicative of CVST alongside meningitis.

Findings:

  • The patient was treated with antibiotics for meningococcal meningitis.
  • Altered coagulation parameters were noted, characteristic of severe meningococcemia.
  • The presence of these coagulation abnormalities created a therapeutic dilemma regarding anticoagulation for CVST.

Implications:

  • This case highlights the diagnostic and therapeutic challenges in managing CVST in the context of active meningococcal infection.
  • The dilemma of anticoagulation underscores the need for careful risk-benefit assessment in such complex cases.
  • Further research may be warranted to establish optimal management strategies for CVST associated with meningococcemia.
Keywords:
AnticoagulantsMeningitis, MeningococcalSinus Thrombosis

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