[Not Available].
In spite of modern antibiotic treatment, bacterial meningitis still has a dubious prognosis. Secondary complications are responsible for death or permanent neurologic deficits. The indication for imaging is 2-fold. Beside the search for a source of infection, an early detection of secondary complications is attempted.We report about a patient with hematogenous pneumococcal meningitis, who developed a subdural empyema and vascular stenoses of the basal cerebral arteries. These changes as well as the resulting infarctions were detected with MRI in an early state. Thus, an adequate therapy could be initiated. Especially FLAIR images, diffusion-weighted sequences and a time of flight MRA proved to be valuable in this setting.
Abteilung für Neuroradiologie der Eberhard-Karls-Universität Tübingen, Germany.
S
S
Friese
Neurologische Klinik der Eberhard-Karls-Universität Tübingen, Germany.
M
M
Gleichmann
Abteilung für Neuroradiologie der Eberhard-Karls-Universität Tübingen, Germany.
I
I
Mader
Abteilung für Neuroradiologie der Eberhard-Karls-Universität Tübingen, Germany.
U
U
Bühring
Abteilung für Neuroradiologie der Eberhard-Karls-Universität Tübingen, Germany.
W
W
Küker
Diffusion-weighted MRI; Key Words: Meningitis; MRA; Subdural empyema; Vasculitis