1.Delayed Meningitis Complicated by the Frontal Sinus Opening to the Dura Mater in a Patient with Intracranial Injury Fifteen Years Ago.
Jaesik SHIN ; Sunghan OH ; Bongsub CHUNG ; Jongkook RHIM ; Chungjae LEE ; Jongwon CHOI
Korean Journal of Neurotrauma 2013;9(2):142-145
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.
Anti-Bacterial Agents
;
Brain
;
Brain Injuries
;
Craniotomy
;
Dura Mater*
;
Emergencies
;
Frontal Lobe
;
Frontal Sinus*
;
Headache
;
Humans
;
Inflammation
;
Membranes
;
Meningitis*
;
Spinal Cord
;
Stupor
2.Delayed Meningitis Complicated by the Frontal Sinus Opening to the Dura Mater in a Patient with Intracranial Injury Fifteen Years Ago.
Jaesik SHIN ; Sunghan OH ; Bongsub CHUNG ; Jongkook RHIM ; Chungjae LEE ; Jongwon CHOI
Korean Journal of Neurotrauma 2013;9(2):142-145
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.
Anti-Bacterial Agents
;
Brain
;
Brain Injuries
;
Craniotomy
;
Dura Mater*
;
Emergencies
;
Frontal Lobe
;
Frontal Sinus*
;
Headache
;
Humans
;
Inflammation
;
Membranes
;
Meningitis*
;
Spinal Cord
;
Stupor