Affiliation:
1. 1Department of Medicine, Maulana Azad Medical College, New Delhi, 110002, India
Abstract
AbstractNeisseria meningitis is a common etiological agent in bacterial meningitis in humans. Common complications associated with meningococcal meningitis include cranial nerve palsies, hydrocephalus, seizures, stroke, cerebritis or brain abscesses. Spinal cord dysfunction is a very rare complication of meningococcal meningitis and its occurrence is limited to case reports only. We report such a case along with a review of available literature and underlying pathogenetic mechanisms. Case report: Our patient diagnosed as a case of meningococcal meningitis developed multiple cranial nerve palsies followed by flaccid paraplegia with bowel bladder involvement during the recovery phase of the disease. Spine MRI showed mild cord edema and diffuse patchy areas of altered intramedullary signal intensity in dorsal cord suggestive of myelitis. The patient was treated with antibiotics and intravenous methyl-prednisolone along with supportive physiotherapy. His neurological deficits showed marked improvement on subsequent follow up.
Reference13 articles.
1. R.A. Gotshall: “Conus medullaris syndrome after meningococcal meningitis’, N. Engl. J. Med., Vol. 286, (1972), pp. 882–883.
2. S.S. Swart and I.F. Pye: “Spinal cord ischaemia complicating meningococcal meningitis”, Postgrad. Med. J., Vol. 56(659), (1980), pp. 661–662.
3. F. Graus, T. Arbizu and G. Ruyfi: “Partial Brown-Sequard’s syndrome and meningococcal meningitis”, Arch. Neurol., Vol. 38(9), (1981), p. 602.
4. J. Khan, I. Altafullah and M. Ishaq: “Spinal cord dysfunction complicating meningococcal meningitis”, Postgrad. Med. J., Vol. 66(774), (1990), pp. 302–303.
5. K.C. Khare, U. Masand and A. Vishnar: “Transverse myelitis-a rare complication of meningococcal meningitis”, J. Assoc. Physicians. India, Vol. 38(2), (1990), p. 188.
Cited by
5 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献