Coma in fulminant pneumococcal meningitis: new MRI observations.
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.
Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
S
S
Vernino
E F
EF
Wijdicks
P F
PF
McGough
D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology; D002536:Cerebral Arteries; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology; D003128:Coma / Q000175:diagnosis* / Q000382:microbiology*; D005122:Exudates and Transudates / Q000382:microbiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008586:Meningitis, Pneumococcal / Q000150:complications* / Q000175:diagnosis*; D008875:Middle Aged