Recurrent Streptococcus Pneumoniae Meningoencephalitis in a Patient With a Transethmoidal eningoencephalocele.
- Author:
Tae Ho YANG
1
;
Seok Young JEONG
;
Sun Young OH
;
Byoung Soo SHIN
;
Man Wook SEO
;
Young Hyun KIM
;
Seul Ki JEONG
Author Information
- Publication Type:Case Report
- Keywords: Recurrent meningitis; Streptococcus Pneumoniae; Transethmoidal meningoencephalocele
- MeSH: Adult; Anti-Bacterial Agents; Brain; Electroencephalography; Humans; Magnetic Resonance Imaging; Meningitis; Meningitis, Bacterial; Meningitis, Pneumococcal; Meningoencephalitis; Pneumonia; Steroids; Streptococcus; Streptococcus pneumoniae
- From:Journal of Clinical Neurology 2008;4(1):40-44
- CountryRepublic of Korea
- Language:English
- Abstract: We report a case of recurrent Streptococcus Pneumoniae meningoencephalitis with a transethmoidal meningoencephalocele (TEME) but without cerebrospinal fluid (CSF) leakage. A 35-year-old man was admitted with S. pneumoniae meningitis. He had suffered from four episodes of recurrent pneumococcal meningitis during the previous 4 years. A computed tomography scan of the paranasal sinus showed the TEME protruding through a bony defect of the right frontal base. However, the patient did not have symptoms that could be attributable to CSF leakage, and radioisotope cisternography did not identify a leak. Brain magnetic resonance imaging revealed cortical lesions overlying the TEME, and electroencephalography revealed epileptiform discharges in frontal regions. Appropriate antibiotics therapy without steroids was given to improve his condition. The presented case suggests that even in the absence of clinically demonstrable CSF leakage, an occult skullbase defect and its associated meningoencephalocele should be considered in patients with recurrent bacterial meningitis.
