A persistent craniopharyngeal canal with recurrent bacterial meningitis: case report and literature review

Stephanie Habermann1, Adikarige Haritha Dulanka Silva2, Kristian Aquilina2

  • 1Department of Paediatric Neurosurgery, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1N 3JH, UK. stephanie.habermann1@nhs.net.

Abstract

Insights

A persistent craniopharyngeal canal (PCC) is a rare cause of recurrent meningitis. Surgical repair of this anatomical abnormality successfully resolved the condition in an 8-year-old boy.

Area of Science:

  • Neurology
  • Pediatric Neurosurgery
  • Anatomical Abnormalities

Background:

  • Persistent craniopharyngeal canal (PCC) is a rare congenital anomaly.
  • PCC can lead to recurrent meningitis, necessitating its consideration in differential diagnoses.

Observation:

  • An 8-year-old boy presented with recurrent meningitis.
  • The meningitis was associated with an underlying persistent craniopharyngeal canal.

Findings:

  • Surgical repair of the persistent craniopharyngeal canal was performed.
  • Post-surgical intervention, the patient experienced no further episodes of meningitis.

Implications:

  • Surgical correction is an effective treatment for meningitis secondary to PCC.
  • Highlights the importance of diagnosing and treating PCC in pediatric recurrent meningitis cases.

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