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Case 271
Yankai Sun1, Philip J Overby1, Hasit Mehta1
1From the Section on Neuroradiology, Department of Radiology (Y.S., H.M.), and Section on Pediatric Neurology, Department of Pediatrics (P.J.O.), New York Medical College, Westchester Medical Center, 100 Woods Rd, Valhalla, NY 10595.
This case study highlights a rare instance of cerebellar infarction in an 11-year-old boy with Fusobacterium meningitis. Prompt MRI revealed evolving infarcts, emphasizing the importance of advanced imaging in diagnosing neurological complications.
Area of Science:
- Neurology
- Radiology
- Infectious Diseases
Background:
- Fusobacterium meningitis is a rare but serious infection.
- Cerebellar involvement can lead to significant neurological deficits.
- Antibiotic treatment for meningitis requires careful monitoring for complications.
Purpose of the Study:
- To present a case of cerebellar infarction secondary to Fusobacterium meningitis.
- To illustrate the diagnostic utility of Magnetic Resonance Imaging (MRI) in identifying evolving infarcts.
- To discuss the clinical presentation and management of this rare complication.
Main Methods:
- A case report of an 11-year-old boy with a history of Fusobacterium meningitis.
- Clinical presentation including emesis, dizziness, vertigo, and gait disturbance.
- Contrast-enhanced MRI of the brain, including T1-weighted, T2-weighted, fluid-attenuated inversion recovery, diffusion-weighted imaging, apparent diffusion coefficient mapping, and MR angiography.
Main Results:
- MRI revealed evolving infarcts in the cerebellum.
- No confusion or metabolic derangements were noted.
- MR angiography showed no abnormalities in the posterior cerebral circulation.
Conclusions:
- Cerebellar infarction is a potential, albeit rare, complication of Fusobacterium meningitis.
- Serial MRI is crucial for diagnosing and monitoring the progression of infarcts.
- Early recognition and management are vital for improving patient outcomes.
