Coma in fulminant pneumococcal meningitis: new MRI observations

Neurology. 1998 Oct;51(4):1200-2. doi: 10.1212/wnl.51.4.1200.

Abstract

We report a 45-year-old man with fulminant pneumococcal meningitis. Fluid attenuated inverse ratio MR images showed the ravaging consequences of occlusive vasculopathy and a transient purulent basal exudate. Bilateral thalamic lesions may have explained the failure to awaken despite appropriate antibiotic therapy.

Publication types

  • Case Reports

MeSH terms

  • Arterial Occlusive Diseases / diagnosis
  • Arterial Occlusive Diseases / etiology
  • Arterial Occlusive Diseases / microbiology
  • Cerebral Arteries
  • Cerebral Infarction / diagnosis
  • Cerebral Infarction / etiology
  • Cerebral Infarction / microbiology
  • Coma / diagnosis*
  • Coma / microbiology*
  • Exudates and Transudates / microbiology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Meningitis, Pneumococcal / complications*
  • Meningitis, Pneumococcal / diagnosis*
  • Middle Aged