Related Experiment Videos
Cerebral Venous Sinus Thrombosis Following Pneumococcal Meningitis: A Rare but Serious Complication
Mohammed Mosharraf Hossain Khandaker1, Zhiyu Loh2, Yasir Mehmood1
1Acute Medicine, Kettering General Hospital NHS Trust, Kettering, GBR.
Abstract:
Cerebral venous sinus thrombosis (CVST) is a rare but important complication of bacterial meningitis and is most commonly associated with Streptococcus pneumoniae. We report the case of a 60-year-old man who developed extensive CVST following the completion of a 14-day course of intravenous ceftriaxone for pneumococcal meningitis. Despite biochemical resolution of infection and absence of focal neurological deficits, persistent headache and meningism prompted further neuroimaging, which confirmed the diagnosis. He was treated with anticoagulation, resulting in subsequent radiological resolution of thrombosis, although headaches persisted following recanalisation.
Insights
Cerebral venous sinus thrombosis (CVST), a rare meningitis complication, can occur even after treatment. This case highlights CVST diagnosis and management challenges, emphasizing persistent symptoms despite infection resolution.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Cerebral venous sinus thrombosis (CVST) is a rare but serious complication of bacterial meningitis.
- Streptococcus pneumoniae is the most common pathogen associated with meningitis-related CVST.
Related Concept Videos
Bacterial Meningitis I: Introduction
Cerebral Edema ll: Pathophysiology
Brain Abscess l: Introduction
Cryptococcal Meningitis
Bacterial Meningitis II: Pathophysiology
Venous Thrombosis I: Introduction