A Case of Bacterial Meningitis Associated with Cerebral Infarction and Arterial Stenosis-Transcranial Doppler Findings

J Korean Neurol Assoc > Volume 25(1); 2007 > Article

Journal of the Korean Neurological Association 2007;25(1): 126-129.

뇌경색 및 동맥협착을 동반한 세균성 수막염 1예-경두개초음파검사 소견

서정화, 조희영 천상명 차재관 김상호

동아대학교 부속병원 신경과

A Case of Bacterial Meningitis Associated with Cerebral Infarction and Arterial Stenosis-Transcranial Doppler Findings

Jung Hwa Seo

Department of Neurology, College of Medicine, Dong-A University, Busan, Korea

Abstract

In spite of the appropriate antibiotic treatment and the development of newer antibiotics, bacterial meningitis still has a high risk of complications. Especially, vascular involvements of meningitis, including vasospasms and infarctions, frequently result in neurologic sequelae. Here, we report a case of bacterial meningitis complicated by arterial vasospasms and multiple infarctions during a clinically improving course. This case suggests that in the management of bacterial meningitis, early evaluation and monitoring of vasculitis by TCD and its management could prevent fatal outcomes. KeyWords:Bacterial meningitis, Vasospasm, Infarction