11/23. amphotericin b induced ocular toxicity in cryptococcal meningitis.We report a case of acute visual loss after a test dose (1 mg) of intravenous amphotericin b administered to a patient with systemic lupus erythematosus and with cryptococcal meningitis. Her visual acuity was normal prior to the injection of amphotericin b. The meningitis subsequently responded to miconazole and flucytosine treatment. Our findings suggest that amphotericin b should be withheld in the treatment of cryptococcal meningitis if disease of the optic nerve is strongly suspected.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
12/23. Chronic syphilitic meningitis resulting in superior orbital fissure syndrome and posterior fossa gumma. A report of two cases followed for 20 years.Two case histories, each spanning more than 20 years, demonstrate the complexity and persistence of modern neurosyphilis. Both patients present uncommon manifestations of neurosyphilis that may be easily overlooked today: superior orbital fissure syndrome, posterior fossa gumma, and bilateral deafness. Computed tomographic scans were performed in both patients but were diagnostically nonspecific, and syphilis serology testing in both serum and cerebrospinal fluid was repeatedly misleading. Numerous mistaken diagnoses were put forward until tissue was finally available for histologic examination. Perhaps the most disturbing aspects of these two cases are the persistent failure of specific treponemal serologic testing to indicate the diagnosis, and the inability of repeated "adequate" and/or supramaximal doses of penicillin to prevent continued neurologic deterioration. We believe that chronic neurosyphilis may demand a reevaluation of current diagnostic and therapeutic practice.- - - - - - - - - - ranking = 0.57142857142857keywords = meningitis (Clic here for more details about this article) |
13/23. Cortical blindness following Hemophilus influenzae meningitis.A 16-month-old child demonstrated cortical blindness following Hemophilus influenzae meningitis. The CT scan and flash VER findings were normal, and visual recovery was noted several weeks after hospital discharge.- - - - - - - - - - ranking = 0.71428571428571keywords = meningitis (Clic here for more details about this article) |
14/23. Cortical blindness following bacterial meningitis: a case report with reassessment of prognosis and aetiology.A case of cortical blindness is presented which developed during H. influenzae type B meningitis. Cortical blindness may appear late in the course of bacterial meningitis, during a period of clinical improvement, and recovery can be expected in 50 per cent of cases. In contrast, when the cause is ischaemic the onset of blindness is immediate and usually recovery is complete. Radiological evidence is presented for the pathological process in meningitis.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
15/23. Rare complications following ethmoidectomies: a report of eleven cases.Intranasal ethmoidectomy is one of the most difficult operations to teach residents. An accurate knowledge of the regional topographic anatomy is of utmost importance. Friedman and Kerr reported complications of 1000 cases of consecutive intranasal ethmoidectomies performed at the Mayo Clinic from 1957 to 1972. The complication rate was 2.8%. meningitis, cerebrospinal fluid rhinorrhea, loss of olfaction, and nasolacrimal duct obstruction were reported. No blindness, loss of occular motility, excision of brain tissue or intracranial vessel damage occurred in their series. We are reporting a series of 8 cases of very rare complications following intranasal ethmoidectomies: 1. optic nerve damage resulting in total blindness (3 cases). 2. Loss of occular motility (2 cases). 3. Cerebrospinal fluid leak resulting in 8 episodes of pseudomonas meningitis and epidural abscess (1 case). 4. cavernous sinus--internal carotid artery fistula (1 case). 5. Anterior cranial fossa brain damage resulting in death (1 case). These cases, which were either referred to us or came up for our review, are described in detail. A search of the world literature demonstrates a lack of emphasis on such complications. The pitfalls of intranasal ethmoidectomy are considered and ways to avoid such dreadful complications are discussed.- - - - - - - - - - ranking = 0.14285714285714keywords = meningitis (Clic here for more details about this article) |
16/23. Cortical blindness: the changing incidence and shifting etiology.The incidence and etiology of cortical blindness--a disorder that usually occurs after cerebrovascular accidents, cardiorespiratory arrest, severe head trauma, or bacterial meningitis--may be changing with the development of effective means of cardiopulmonary resuscitation, as three cases discussed here show.- - - - - - - - - - ranking = 0.14285714285714keywords = meningitis (Clic here for more details about this article) |
17/23. Tuberculous meningitis with blindness and perichiasmal involvement on MRI.An 11-year-old boy with tuberculous meningitis developed blindness, a rare complication of this disease in the united states. magnetic resonance imaging demonstrated perichiasmal enhancement, suggesting that arachnoiditis caused the visual loss. Serial neuroimaging over 7 months revealed a persistent inflammatory process in the chiasmatic cistern, hydrocephalus, and progressive cerebral infarctions.- - - - - - - - - - ranking = 0.71428571428571keywords = meningitis (Clic here for more details about this article) |
18/23. The ocular pathology in Leber's congenital amaurosis.PURPOSE: To present the ocular pathology of a three-year-old child with Leber's congenital amaurosis (LCA) who died from an unrelated episode of presumed viral meningitis. methods: autopsy was performed, and in addition the globes were harvested for pathological examination. Before the child's death, known systemic disorders with infantile retinal dystrophy were excluded. RESULTS: The outer nuclear layer and photoreceptor layers are the primary site of retinal pathology in LCA. CONCLUSION: This report of the pathological findings in LCA, early in the natural history of the disease, indicates that process appears to be a degeneration rather than an agenesis.- - - - - - - - - - ranking = 0.14285714285714keywords = meningitis (Clic here for more details about this article) |
19/23. Hypertrophic cranial pachymeningitis causing progressive unilateral blindness: MR findings.A case of hypertrophic cranial pachymeningitis is described and the MR appearance presented. A gadopentetate-dimeglumine-enhanced MR scan enhanced markedly suggesting thickening and inflammation of dura and falx cerebri. The patient, a 72-year-old elderly man, had surprisingly little clinical abnormality. His only neurological manifestation was progressive unilateral blindness. The exact cause of his pachymeningitis was unknown, though neither rheumatoid arthritis nor other collagen disease was completely excluded.- - - - - - - - - - ranking = 22.296406148051keywords = pachymeningitis, meningitis (Clic here for more details about this article) |
20/23. status epilepticus amauroticus secondary to meningitis as a cause of postpartum cortical blindness.BACKGROUND AND OBJECTIVES: A patient who underwent cesarean delivery with epidural anesthesia presented 6 days postpartum with acute cortical blindness. methods: Initial studies included an ophthalmology consultation as well as a full neurologic workup, including cranial computed tomography, diagnostic lumbar puncture, magnetic resonance imaging, body fluid cultures, and electroencephalography. Early broad-spectrum antibiotic coverage was initiated, and because of possible epileptic activity on electroencephalogram, phenytoin was added to the treatment regimen. RESULTS: Soon after beginning the initial phenytoin dose, the patient reported full return of her vision. She was eventually discharged from the hospital in good condition. CONCLUSIONS: This case report illustrates how blindness can be related to seizure activity.- - - - - - - - - - ranking = 0.57142857142857keywords = meningitis (Clic here for more details about this article) |
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