Sequential MRI in chronic meningitis during adrenocorticotropic hormone treatment for West syndrome.
I report a patient with West syndrome who suffered from chronic meningitis during adrenocorticotropic hormone treatment. The pleocytosis of cerebrospinal fluid continued, with vacillation, for more than 3 months. Sequential MRI studies with gadolinium contrast seem to be essential for evaluation of the activity and determination of the treatment in chronic meningitis.
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Department of Pediatrics, Otsu Red Cross Hospital, Japan. masumigo@mbox.kyoto-inet.or.jp
D000324:Adrenocorticotropic Hormone / Q000009:adverse effects / Q000627:therapeutic use*; D000900:Anti-Bacterial Agents; D016470:Bacteremia / Q000382:microbiology*; D002908:Chronic Disease; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging / Q000379:methods; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D011008:Pneumococcal Infections / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D013036:Spasms, Infantile / Q000175:diagnosis / Q000188:drug therapy*; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000324:Adrenocorticotropic Hormone