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Locked-in syndrome in an adolescent patient with pneumococcal meningitis
W Habre1, M Caflisch, V Chaves-Vischer
1Department of Pediatrics, University Hospitals of Geneva, Switzerland.
Neuropediatrics
|December 1, 1996
Abstract:
A 15-year-old adolescent with pneumococcal meningitis and increased intracranial pressure presented clinical and neurophysiological evidence of the locked-in syndrome. MRI studies showed an area of infarction involving the ventral part of the medulla.
Insights
A 15-year-old experienced locked-in syndrome due to pneumococcal meningitis. Brain imaging revealed a specific area of infarction in the medulla, explaining the severe neurological symptoms.
Area of Science:
- Neurology
- Neuroscience
- Pediatric Neurology
Background:
- Pneumococcal meningitis can lead to severe neurological complications.
- Increased intracranial pressure is a critical factor in meningitis-related brain injury.
Observation:
- A 15-year-old adolescent presented with clinical and neurophysiological signs of locked-in syndrome.
- The patient had a confirmed diagnosis of pneumococcal meningitis.
Findings:
- Magnetic Resonance Imaging (MRI) identified an infarction in the ventral medulla.
- This medullary infarction correlated with the observed locked-in syndrome.
Implications:
- This case highlights a rare but devastating neurological consequence of pneumococcal meningitis.
- Understanding medullary involvement is crucial for diagnosing and managing complex meningitis cases in adolescents.