Neurolisteriosis causing hydrocephalus, trapped fourth ventricle, hindbrain herniation and syringomyelia.
Central nervous system infection by Listeria monocytogenes is relatively uncommon, but is known to be highly morbid and fatal. We describe a case of listeria meningoencephalitis, wherein the acute episode was followed by a hitherto unreported conglomeration of severe and progressive neurological sequelae, in the form of supratentorial hydrocephalus, aqueduct block, trapped fourth ventricle, hindbrain herniation and syringomyelia. Pertinent literature is reviewed and the pathogenesis of the observed sequelae is explored.
Dhiwakar
M
M
Department of Neurosurgery, Walton Centre for Neurology & Neurosurgery, Liverpool, UK.
Basu
S
S
Ramaswamy
R
R
Mallucci
C
C
D000328:Adult; D005260:Female; D020546:Fourth Ventricle / Q000473:pathology*; D006547:Hernia / Q000209:etiology* / Q000473:pathology; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods; D008584:Meningitis, Listeria / Q000150:complications* / Q000473:pathology; D012249:Rhombencephalon; D013595:Syringomyelia / Q000209:etiology* / Q000473:pathology