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Updated: Aug 8, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Coincident meningitis and intracerebral hemorrhage in an unresponsive adult
1Department of Emergency Medicine, Albany Medical Center, NY 12208, USA.
Abstract:
Intracerebral hemorrhage is an unusual complication of central nervous system infection. A 54-year-old man presented to our emergency department unresponsive following an acute intracerebral hemorrhage that likely occurred as a complication of pneumococcal meningitis. Although the simultaneous presence of meningitis and intracerebral hemorrhage is rare, prompt identification and treatment of each is essential to maximize the outcome. The intracranial complications and various presentations of bacterial meningitis in adults are reviewed.
Insights
Pneumococcal meningitis can rarely cause intracerebral hemorrhage, a serious brain bleed. Early diagnosis and treatment of both meningitis and hemorrhage are crucial for better patient outcomes.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Intracerebral hemorrhage is an uncommon complication of central nervous system infections.
- Bacterial meningitis, particularly pneumococcal meningitis, can lead to severe neurological deficits.
Observation:
- A 54-year-old male presented with unresponsiveness due to acute intracerebral hemorrhage.
- The hemorrhage was suspected to be a complication of pneumococcal meningitis.
Findings:
- The co-occurrence of meningitis and intracerebral hemorrhage is a rare clinical presentation.
- Prompt identification and management of both conditions are critical.
Implications:
- This case highlights the importance of considering intracerebral hemorrhage in patients with meningitis.
- Understanding intracranial complications of bacterial meningitis is essential for effective treatment strategies.
Related Concept Videos
Viral Meningitis
Hemorrhagic Stroke l: Introduction
Hemorrhagic Stroke ll: Pathophysiology
Bacterial Meningitis I: Introduction
Encephalitis l: Introduction
Increased Intracranial Pressure l: Introduction

