2009
DOI: 10.5414/npp28033
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Evidence for frequent focal and diffuse acute axonal injury in human bacterial meningitis

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Cited by 22 publications
(11 citation statements)
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“…Surprisingly, axonal damage in the present series of HIV‐infected cases did not appear to play a prominent role in the pathophysiological process: it was much milder than the injury found in acute or subacute CNS infections such as bacterial meningitis, fungal meningoencephalitis and septic encephalitis [17,22,34,35]. Although demyelinating leukoencephalopathy is a typical feature of HIV encephalopathy [36], axonal injury in the present HIV‐infected cases was not more severe than in control cases.…”
Section: Discussioncontrasting
confidence: 56%
See 1 more Smart Citation
“…Surprisingly, axonal damage in the present series of HIV‐infected cases did not appear to play a prominent role in the pathophysiological process: it was much milder than the injury found in acute or subacute CNS infections such as bacterial meningitis, fungal meningoencephalitis and septic encephalitis [17,22,34,35]. Although demyelinating leukoencephalopathy is a typical feature of HIV encephalopathy [36], axonal injury in the present HIV‐infected cases was not more severe than in control cases.…”
Section: Discussioncontrasting
confidence: 56%
“…As in bacterial meningitis [34], septic encephalitis [17] and fungal meningoencephalitis [22], the brains of autopsy cases with HIV encephalopathy showed an increased proliferation rate of progenitor cells in the hippocampal dentate granule cell layer and subgranular zone. As in fungal meningoencephalitis, but unlike in bacterial meningitis and septic‐metastatic encephalitis, the differentiation of young progenitor cells into neurons was not significantly increased.…”
Section: Discussionmentioning
confidence: 99%
“…Three control cases of this study without brain pathology at routine autopsy also displayed mild axonal injury. Minor axonal affection was also observed in four human autopsy cases of the control group in a study investigating neuropathological alterations after bacterial meningitis [17]. One can speculate whether this is a phenomenon of age as old age seems to increase the susceptibility to neuronal damage in general [22].…”
Section: Discussionmentioning
confidence: 77%
“…Neuronal cell damage is evident in the hippocampal formation, the neocortex, the basal ganglia, and the brain stem of victims of bacterial meningitis [3,4]. Additionally, axonal injury in the white matter has been reported in animal meningitis models and in human bacterial meningitis [5,6]. …”
Section: Introductionmentioning
confidence: 99%