1/10. Anterior sacral meningocele associated with a rectal fistula. Case report and review of the literature.The authors report a case of anterior sacral meningocele associated with a rectal fistula in a patient who had presented 20 years earlier with bacterial meningitis. To their knowledge, this is the first case in which a rectal fistula developed due to an anterior sacral meningocele. The clinical presentation, diagnosis, and treatment of this uncommon lesion is discussed.- - - - - - - - - - ranking = 1keywords = meningocele (Clic here for more details about this article) |
2/10. Polymicrobial meningitis revealing an anterior sacral meningocele in a 23-year-old woman.Polymicrobial meningitis has become increasingly rare during recent decades. Historically, it has mainly been reported as being associated with disorders of the ENT-sphere. The treatment of these infections being optimized, polymicrobial meningitis nowadays is essentially a complication of gastrointestinal or gynaecological disorders and trauma. We present a case of polymicrobial meningitis following puncture of a unrecognized pre-sacral meningocele in a patient with Currarino syndrome and review of the relevant literature.- - - - - - - - - - ranking = 0.83333333333333keywords = meningocele (Clic here for more details about this article) |
3/10. Actinomycotic meningitis: report of a case.A 73-year-old man who presented with acute fever, drowsiness and confusion was reported. Two weeks prior to admission, he attended the Outpatient Department with symptoms of fever and headache for 2 weeks. Eosiophilic meningitis was initially diagnosed, which, in fact, was lymphocytic CSF pleocytosis. He was treated with a high dose of prednisolone. His symptoms improved for 1 week, then he experienced symptoms of fever and headache again. On admission, he had stiffness of the neck. Lumbar puncture showed purulent CSF with gram-positive branching filamentous organisms. CSF grew actinomyces israelii. The patient died from brain herniation.- - - - - - - - - - ranking = 0.0050859628041797keywords = herniation (Clic here for more details about this article) |
4/10. A case with cauda equina syndrome due to bacterial meningitis of anterior sacral meningocele.STUDY DESIGN: A case of a patient with anterior sacral meningocele that was misdiagnosed as perianal abscess is presented. After the transrectal aspiration, the patient developed meningitis and cauda equina syndrome. OBJECTIVE: To report a rare case of anterior sacral meningocele in which primary presentation was mimicking perianal abscess. SUMMARY AND BACKGROUND DATA: Anterior sacral meningocele is a rare example of spinal dysraphism. It is created by a herniation of a dural sac through a defect in the sacral wall. It is usually asymptomatic until later decades. Most of the presenting symptoms are related to the pelvic organs. In the management of anterior sacral meningocele, surgical treatment is necessary. methods: The reported case is that of a 35-year-old female with cauda equina syndrome due to bacterial meningitis of the anterior sacral meningocele. At the beginning, she presented signs and symptoms resembling perianal abscess. She was misdiagnosed as anorectal abscess according to the computed tomography findings. The patient then underwent transrectal aspiration. Following the aspiration, meningitis and cauda equina syndrome were developed. meningitis was treated with the appropriate antibiotics, and the patient underwent rehabilitation for paraplegia and bladder and bowel incontinence. RESULTS: Following the rehabilitation program, the patient has recovered completely within 8 months. CONCLUSION: This case represents a rare example of anterior sacral meningocele in which the patient was misdiagnosed as perianal abscess. meningitis either iatrogenic or spontaneous may occur during the course of anterior sacral meningocele. Once it has occurred, it may result in severe morbidity and mortality. However, our case had been treated effectively, and she had regained her health with rehabilitation program.- - - - - - - - - - ranking = 1.8384192961375keywords = meningocele, herniation (Clic here for more details about this article) |
5/10. Post-operative meningitis caused by drug-resistant streptococcus pneumoniae: two case reports.We report 2 patients with post-operative meningitis caused by drug-resistant streptococcus pneumoniae (DRSP), following correction of frontoethmoidal encephalomeningocele in 1 patient and adenotonsillectomy in the other. Both patients responded well to vancomycin plus cefotaxime. DRSP may be colonized in the upper respiratory tract and causes serious infections after surgical operation.- - - - - - - - - - ranking = 0.16666666666667keywords = meningocele (Clic here for more details about this article) |
6/10. Fulminant acute disseminated encephalomyelitis mimicking acute bacterial menigoencephalitis.Most patients with acute disseminated encephalomyelitis (ADEM) recover quickly under corticosteroid treatment and have a favourable long-term prognosis. We report on a young woman with acute onset of an extensive and solitary white-matter lesion in the left hemisphere. fever, high pleocytosis and elevated protein in cerebrospinal fluid initially suggested bacterial meningoencephalitis. The patient died from brain herniation despite maximal conservative therapy. Histological changes in necropsy were consistent with the diagnosis ADEM. Treatment options of fulminant ADEM are discussed.- - - - - - - - - - ranking = 0.0050859628041797keywords = herniation (Clic here for more details about this article) |
7/10. Uncal herniation secondary to bacterial meningitis in a newborn.A newborn with bilateral uncal herniation secondary to acute bacterial meningitis is reported. The findings of previous neuropathologic studies of neonatal bacterial meningitis are reviewed and the factors most likely responsible for the relative rarity of herniation in this disease in newborns are discussed.- - - - - - - - - - ranking = 0.030515776825078keywords = herniation (Clic here for more details about this article) |
8/10. A cluster of anthrax cases including meningitis.We report a common-source outbreak of anthrax. The source of infection was the carcass of a cow. Three patients developed anthrax, which affects meninx, skin and larynx. The patient with meningitis died. In all, 20 people who contacted or ate the cooked meat of the dead cow were given prophylactic tetracycline and remained well. This small outbreak calls for the increased awareness of physicians to this clinical entity in locations in which anthrax is endemic and for health education.- - - - - - - - - - ranking = 0.031244631833618keywords = meninx (Clic here for more details about this article) |
9/10. Anterior fontanel herniation in group B streptococcus meningitis in newborns.brain herniation at any site is a rare complication of neonatal meningitis. Two cases of anterior fontanel herniation, associated with group B beta-hemolytic streptococcus meningitis are reported. This finding is a poor prognostic sign.- - - - - - - - - - ranking = 0.030515776825078keywords = herniation (Clic here for more details about this article) |
10/10. Recurrent meningitis in a case of congenital anterior sacral meningocele and agenesis of sacral and coccygeal vertebrae.A rare case of recurrent meningitis due to congenital anterior sacral meningocele and agenesis of the sacral and coccygeal vertebrae is described. An autosomal dominant inheritance is demonstrated for lower cord malformation, and environmental factors (chromic acid or fumes) are discussed.- - - - - - - - - - ranking = 0.83333333333333keywords = meningocele (Clic here for more details about this article) |
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