Delayed Meningitis Complicated by the Frontal Sinus Opening to the Dura Mater in a Patient with Intracranial Injury Fifteen Years Ago.
10.13004/kjnt.2013.9.2.142
- Author:
Jaesik SHIN
1
;
Sunghan OH
;
Bongsub CHUNG
;
Jongkook RHIM
;
Chungjae LEE
;
Jongwon CHOI
Author Information
1. Department of Neurosurgery, Bundang Jesaeng General Hospital, Seongnam, Korea. swalme@hanmail.net
- Publication Type:Case Report
- Keywords:
Basal skull fracture;
Cranialization;
Meningitis
- MeSH:
Anti-Bacterial Agents;
Brain;
Brain Injuries;
Craniotomy;
Dura Mater*;
Emergencies;
Frontal Lobe;
Frontal Sinus*;
Headache;
Humans;
Inflammation;
Membranes;
Meningitis*;
Spinal Cord;
Stupor
- From:Korean Journal of Neurotrauma
2013;9(2):142-145
- CountryRepublic of Korea
- Language:English
-
Abstract:
Meningitis is the inflammation of the membranes of the brain and spinal cord. This disease is considered life threatening and classified as a medical and emergency. Here we report a case of delayed meningitis occurred in a patient with craniotomy for traumatic brain injury fifteen years ago. Meanwhile, he had been well, however he complained of headache for five days. A brain computed tomographic scan showed air density on the frontal lobe with frontal sinus defect and pansinusitis. His mental state was suddenly changed to stuporous, despite a day of empirical antibiotics. Therefore, a successful cranialization was performed and he was gradually improved. This is a rare case report. Our case shows that surgical intervention is to be considered in some cases of posttraumatic meningitis for effective and rapid control of infection.
