Acute Severe Spinal Cord Dysfunction in Bacterial Meningitis in Adults

Abstract

We demonstrate for the first time the MRI findings of adults with acute spinal cord involvement during bacterial meningitis. Magnetic resonance imaging showed central intramedullary hyperintensities on T2-weighted images that extended from the cervical to the lumbar cord, indicating myelitis. Clinical follow-up examinations suggest that myelitis during bacterial meningitis has an unfavorable prognosis.

Anterior spinal cord syndrome as a rare complication of acute bacterial meningitis in an adult

“…In this patient, the radiological features of very minimal spinal cord oedema and without intramedullary contrast enhancement are more supportive of vascular compromise rather than myelitis. Predominant central cord involvement, as observed in our patient, indicates venous congestion 3…”

Anterior spinal cord syndrome as a rare complication of acute bacterial meningitis in an adult

“…In this patient, the radiological features of very minimal spinal cord oedema and without intramedullary contrast enhancement are more supportive of vascular compromise rather than myelitis. Predominant central cord involvement, as observed in our patient, indicates venous congestion 3…”

Acute severe spinal cord dysfunction in a child with meningitis: Streptococcus pneumoniae and Mycoplasma pneumoniae co‐infection

“…MRI can rule out other causes of spinal cord dysfunction such as mass effect with cord compression or vascular compromise. As illustrated by our case report, high T2 signal in the spinal cord seems to be the most common abnormality in infectious myelitis 3. In our patient, the absence of haemodynamic disorders and the resolution of T2 signal abnormalities militate against ischaemia as a causative mechanism.…”

Gas-Containing Cervical Epidural Abscess Accompanying Bacterial Meningitis in an Adult

“…Cerebral septic venous thrombosis is a well-recognized complication of purulent meningitis, and compromised venous drainage of the spine, septic venous thrombosis, or adhesive arachnoiditis is also conceivable in meningitis3). In this case, spinal cord dysfunction resulted from the cervical epidural abscess complicating bacterial meningitis.…”

Anterior spinal cord syndrome as a rare complication of acute bacterial meningitis in an adult

“…In this patient, the radiological features of very minimal spinal cord oedema and without intramedullary contrast enhancement are more supportive of vascular compromise rather than myelitis. Predominant central cord involvement, as observed in our patient, indicates venous congestion 3…”

Acute severe spinal cord dysfunction in a child with meningitis: Streptococcus pneumoniae and Mycoplasma pneumoniae co‐infection

“…MRI can rule out other causes of spinal cord dysfunction such as mass effect with cord compression or vascular compromise. As illustrated by our case report, high T2 signal in the spinal cord seems to be the most common abnormality in infectious myelitis 3. In our patient, the absence of haemodynamic disorders and the resolution of T2 signal abnormalities militate against ischaemia as a causative mechanism.…”

Gas-Containing Cervical Epidural Abscess Accompanying Bacterial Meningitis in an Adult

“…Cerebral septic venous thrombosis is a well-recognized complication of purulent meningitis, and compromised venous drainage of the spine, septic venous thrombosis, or adhesive arachnoiditis is also conceivable in meningitis3). In this case, spinal cord dysfunction resulted from the cervical epidural abscess complicating bacterial meningitis.…”

Anterior spinal cord syndrome as a rare complication of acute bacterial meningitis in an adult

“…In this patient, the radiological features of very minimal spinal cord oedema and without intramedullary contrast enhancement are more supportive of vascular compromise rather than myelitis. Predominant central cord involvement, as observed in our patient, indicates venous congestion 3…”

Acute severe spinal cord dysfunction in a child with meningitis: Streptococcus pneumoniae and Mycoplasma pneumoniae co‐infection

“…MRI can rule out other causes of spinal cord dysfunction such as mass effect with cord compression or vascular compromise. As illustrated by our case report, high T2 signal in the spinal cord seems to be the most common abnormality in infectious myelitis 3. In our patient, the absence of haemodynamic disorders and the resolution of T2 signal abnormalities militate against ischaemia as a causative mechanism.…”

Gas-Containing Cervical Epidural Abscess Accompanying Bacterial Meningitis in an Adult

“…Cerebral septic venous thrombosis is a well-recognized complication of purulent meningitis, and compromised venous drainage of the spine, septic venous thrombosis, or adhesive arachnoiditis is also conceivable in meningitis3). In this case, spinal cord dysfunction resulted from the cervical epidural abscess complicating bacterial meningitis.…”