Ischemic cerebrovascular complications of Haemophilus influenzae meningitis. The value of computed tomography

David Dunn, R. S. Daum, L. Weisberg, R. Vargas

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

In an effort to define the value of computed tomographic (CT) scanning in assessment of cerebral involvement in children with severe Haemophilus influenzae meningitis, we studied 12 children who had focal neurologic deficits on admission or within the early days of illness. The CT scan reliably excluded abscess and cerebritis and suggested ischemic cerebrovascular lesions in 11 of 12 children. Scans performed early in the hospital course generally showed low-density lesions occurring in a vascular distribution without detectable mass effect or enhancement. Later in the clinical course there was consistent enhancement of gray matter or diffuse enhancement in the area of the vascular lesion. The duration of symptoms of meningitis ranged from five to 21 days (mean, 13 days) and appeared to predispose to these vascular lesions. A CT scan consistent with infarction of brain parenchyma occurred predictably in patients with persistent focal neurologic deficits and was correlated with poor outcome.

Original languageEnglish (US)
Pages (from-to)650-652
Number of pages3
JournalArchives of Neurology
Volume39
Issue number10
StatePublished - 1982
Externally publishedYes

Fingerprint

Haemophilus Meningitis
Haemophilus influenzae
Blood Vessels
Tomography
Neurologic Manifestations
Brain Infarction
Sick Leave
Meningitis
Abscess
Lesion
Influenza
Computed Tomography
Complications
Enhancement

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Ischemic cerebrovascular complications of Haemophilus influenzae meningitis. The value of computed tomography. / Dunn, David; Daum, R. S.; Weisberg, L.; Vargas, R.

In: Archives of Neurology, Vol. 39, No. 10, 1982, p. 650-652.

Research output: Contribution to journalArticle

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