Meningococcal meningitis with myelopathy: case report and review of literature

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.

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Primary Pituitary tubercular Abscess: A Case Report

Journal of Nepal Medical Association ◽

10.31729/jnma.4433 ◽

2019 ◽

Vol 57 (217) ◽

Author(s):

Yam Bahadur Roka ◽

Narayani Roka ◽

Sagar Raj Pandey

Keyword(s):

Case Report ◽

Cranial Nerve ◽

Initial Treatment ◽

Visual Loss ◽

Case Reports ◽

Solid Mass ◽

Diagnostic Modality ◽

Suprasellar Region ◽

Cranial Nerve Palsies ◽

Anti Tubercular Therapy

Primary pituitary tubercular abscess is a very rare and the majority are reported as case reports. It may present clinically with visual loss, headache, seizure, hormonal abnormalities or with cranial nerve palsies. MRI is the diagnostic modality and shows a cystic-solid mass in the sellar and suprasellar region, isointense on T1 and T2W images with heterogeneous areas and ring enhancement on contrast. Surgery remains the initial treatment and it is approached through the trans-sphenoidal/ trans-nasal or transcranial route followed by anti-Tubercular therapy. We report a case of PTA managed successfully with a brief review of its pathology.

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Early neurosyphilis presenting with multiple cranial nerve palsies: A case report of management by combined penicillin-corticosteroid treatment

Journal of Infection and Chemotherapy ◽

10.1016/j.jiac.2018.11.007 ◽

2019 ◽

Vol 25 (5) ◽

pp. 362-364 ◽

Cited By ~ 5

Author(s):

Hiroshi Komamura ◽

Takaaki Nakamura ◽

Junpei Kobayashi ◽

Ryuhei Harada ◽

Kaoru Endo ◽

...

Keyword(s):

Case Report ◽

Cranial Nerve ◽

Corticosteroid Treatment ◽

Cranial Nerve Palsies ◽

Multiple Cranial Nerve

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Traumatic occipital condyle fracture, multiple cranial nerve palsies, and torticollis: A case report and review of the literature

Surgical Neurology ◽

10.1016/0090-3019(92)90094-4 ◽

1992 ◽

Vol 38 (2) ◽

pp. 152-156 ◽

Cited By ~ 40

Author(s):

Steven A. Bridgman ◽

Winton McNab

Keyword(s):

Case Report ◽

Cranial Nerve ◽

Occipital Condyle ◽

Review Of The Literature ◽

Occipital Condyle Fracture ◽

Cranial Nerve Palsies ◽

Condyle Fracture ◽

Fracture Multiple ◽

Multiple Cranial Nerve

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Tongue and tail necrosis in an atypical case of acute steroid responsive meningitis-arteritis in a dog

Vlaams Diergeneeskundig Tijdschrift ◽

10.21825/vdt.v81i2.18365 ◽

2012 ◽

Vol 81 (2) ◽

pp. 93-97

Author(s):

S. A. E. Van Meervenne ◽

J. Declercq ◽

A. Tipold ◽

K. Chiers ◽

I. Van Soens ◽

...

Keyword(s):

Case Report ◽

Neck Pain ◽

Cranial Nerve ◽

Clinical Symptoms ◽

Systemic Vasculitis ◽

Neurological Deficits ◽

Calcinosis Cutis ◽

Atypical Case ◽

Acute Form ◽

Multiple Cranial Nerve

Acute steroid responsive meningitis-arteritis (SRMA) is a common neurological disorder in young dogs. Typical clinical symptoms of the acute form of SRMA are neck pain, depression and fever. This case report describes a 1.5-year-old Pointer with uncommon neurological deficits (unilateral multiple cranial nerve deficits and Horner’s syndrome) and an exceptional necrosis of the tongue. This was believed to be part of the systemic vasculitis accompanying SRMA. The patient also developed tail necrosis and iatrogenic calcinosis cutis, which complicated further treatment of the dog.

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Lemierre’s syndrome: a complication of acute oropharyngitis

The Journal of Laryngology & Otology ◽

10.1258/0022215001906110 ◽

2000 ◽

Vol 114 (7) ◽

pp. 545-547 ◽

Cited By ~ 27

Author(s):

R. Agarwal ◽

P. S. Arunachalam ◽

D. A. Bosman

Keyword(s):

Case Report ◽

Sore Throat ◽

Cranial Nerve ◽

Jugular Vein ◽

Lemierre’S Syndrome ◽

Jugular Vein Thrombosis ◽

Vein Thrombosis ◽

Cranial Nerve Palsies ◽

Internal Jugular Vein Thrombosis ◽

Lemierre's Syndrome

Lemierre’s syndrome is a recognized but infrequently seen complication of acute oropharyngitis. In this case report the patient presented with acute sore throat that led to a bacteraemia with internal jugular vein thrombosis and subsequent cranial nerve palsies.

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Sonographic Demonstration of Intracranial Hemorrhage in a Fetus with Hydrops Fetalis due to Rh Alloimmunization after Intrauterine Intravascular Transfusion: A Case Report and Review of the Literature

Case Reports in Obstetrics and Gynecology ◽

10.1155/2018/8412139 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Rauf Melekoglu ◽

Ebru Celik ◽

Hasim Kural

Keyword(s):

Case Report ◽

Intracranial Hemorrhage ◽

Intraventricular Hemorrhage ◽

Case Reports ◽

Rare Complication ◽

Fetal Anemia ◽

Red Cell ◽

Review Of The Literature ◽

Intrauterine Transfusion ◽

Sonographic Demonstration

Intrauterine transfusion is the most common and successful intrauterine procedure for the treatment of fetal anemia due to red cell alloimmunization. Fetal intracranial hemorrhage is a very rare complication of intrauterine transfusion in patients with Rh(D) alloimmunization and it has been demonstrated only in a few case reports in the literature. Herein, we described a case of grade IV intraventricular hemorrhage that was diagnosed following the first intrauterine transfusion and reviewed the literature about the fetal intracranial hemorrhage that occurred after intrauterine intravascular transfusion procedure.

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