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[Adult pneumococcal meningitis complicated by cerebral infarction: a case report]
Rinsho Shinkeigaku = Clinical Neurology
|September 1, 1996
Abstract:
We describe a 36-year-old man with pneumococcal meningitis who suddenly showed a left central type facial palsy and left hemiparesis. Magnetic resonance imaging (MRI) revealed a low intensity area in the posterior limb and genu of the right internal capsule to caudate nucleus in T1-weighted images and a high intensity area in T2-weighted images. We surmised vasculitis as the cause of cerebral infarction, because steroid treatment was effective.
Insights
A man with pneumococcal meningitis developed facial palsy and hemiparesis due to cerebral infarction. Vasculitis was suspected as the cause, with steroid treatment proving effective.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Pneumococcal meningitis can lead to serious neurological complications.
- Cerebral infarction is a potential, though rare, sequela of meningitis.
Observation:
- A 36-year-old male patient presented with acute onset left central facial palsy and left hemiparesis.
- Clinical presentation suggested a cerebrovascular event secondary to meningitis.
Findings:
- Magnetic resonance imaging (MRI) identified a lesion in the right internal capsule and caudate nucleus.
- Imaging characteristics indicated cerebral infarction, with specific signal intensities on T1 and T2 weighted images.
Implications:
- The case highlights vasculitis as a potential cause of cerebral infarction in pneumococcal meningitis.
- The positive response to steroid treatment supports the vasculitic etiology and suggests a therapeutic approach.