Document Detail


Ischemic cerebrovascular complications of Haemophilus influenzae meningitis. The value of computed tomography.
MedLine Citation:
PMID:  7125976     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In an effort to define the value of computed tomographic (CT) scanning in assessment of cerebral involvement in children with severe Haemophilus influenzae meningitis, we studied 12 children who had focal neurologic deficits on admission or within the early days of illness. The CT scan reliably excluded abscess and cerebritis and suggested ischemic cerebrovascular lesions in 11 of 12 children. Scans performed early in the hospital course generally showed low-density lesions occurring in a vascular distribution without detectable mass effect or enhancement. Later in the clinical course there was consistent enhancement of gray matter or diffuse enhancement in the area of the vascular lesion. The duration of symptoms of meningitis ranged from five to 21 days (mean, 13 days) and appeared to predispose to these vascular lesions. A CT scan consistent with infarction of brain parenchyma occurred predictably in patients with persistent focal neurologic deficits and was correlated with poor outcome.
Authors:
D W Dunn; R S Daum; L Weisberg; R Vargas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of neurology     Volume:  39     ISSN:  0003-9942     ISO Abbreviation:  Arch. Neurol.     Publication Date:  1982 Oct 
Date Detail:
Created Date:  1982-12-03     Completed Date:  1982-12-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372436     Medline TA:  Arch Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  650-2     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Brain Ischemia / etiology*,  radiography
Child, Preschool
Evaluation Studies as Topic
Humans
Infant
Meningitis, Haemophilus / complications*
Tomography, X-Ray Computed*

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