The Angiographic Demonstration of Arterial Vascular Disease in Purulent Meningitis

Lyons, Edwin L.; Leeds, Norman E.

doi:10.1148/88.5.935

Cited by 72 publications

(23 citation statements)

References 6 publications

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“…Our study concurs with previous reports of CNS infection as a relevant cause of cerebral nonatherosclerotic vasculopathy [5,8,15,16]. In agreement with previous reports, our study identified acute bacterial meningitis and VZV infection as two main causes of infectious vasculopathy of large-and middle-sized intracranial vessels [17,18].…”

Section: Discussionsupporting

confidence: 93%

“…Infection is a well-recognized cause of CNS vasculopathy [5,6]. So far, viruses such as varicella zoster virus (VZV) [7], bacteria including mycobacteria and spirochetes [8][9][10][11][12], fungi, and parasites [13] have been identified as causative agents of cerebral vasculitis. In this study, we retrospectively assessed all patients treated in the neurological intensive care unit of our institution with the diagnosis of nonatherosclerotic intracranial vasculopathy over a period of 10 years.…”

Section: Introductionmentioning

confidence: 99%

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Infectious Vasculopathy of Intracranial Large- and Medium-Sized Vessels in Neurological Intensive Care Unit: A Clinico-Radiological Study

et al. 2010

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Infectious Vasculopathy of Intracranial Large- and Medium-Sized Vessels in Neurological Intensive Care Unit: A Clinico-Radiological Study

et al. 2010

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“…Autopsy and animal model studies indicate severe inflammation of the vessel walls (vasculitis) as a key etiology [3,4]. Furthermore, patients in whom histopathological correlates in terms of inflammation were not found at the sites of arterial narrowing have been reported [5,6]. This suggests vasospasm as a second important etiology.…”

Section: Introductionmentioning

confidence: 99%

Arterial cerebrovascular complications in 94 adults with acute bacterial meningitis

et al. 2011

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IntroductionIntracranial vascular complications are an important complication of acute bacterial meningitis. Ischemic stroke in meningitis is reported as a result of vasculitis, vasospasm, endocarditis or intraarterial thrombosis. The aim of the study was to identify the value of measuring cerebral blood flow velocity (CBFv) on transracranial doppler (TCD) in the identification of patients at risk for meningitis-associated stroke.MethodsWe retrospectively studied patients with acute bacterial meningitis who were treated in our university hospital from 2000 to 2009. Data were analyzed with the main focus on the incidence of an increase of CBFv on TCD, defined as peak systolic values above 150 cm/s, and the development of stroke.ResultsIn total, 114 patients with acute bacterial meningitis were treated, 94 of them received routine TCD studies during their hospital stay. 41/94 patients had elevated CBFv values. This increase was associated with an increased risk of stroke (odds ratio (95% confidence intervall) = 9.15 (1.96-42.67); p < 0.001) and unfavorable outcome (Glasgow Outcome Score < 4; odds ratio (95% confidence intervall) = 2.93 (1.23-6.98); p = 0.018). 11/32 (34.4%) patients with an increase of CBFv who received nimodipine and 2/9 (22.2%) patients with an increase of CBFv who did not receive nimodipine developed stroke (p = 0.69).ConclusionsIn summary, TCD was found to be a valuable bedside test to detect arterial alterations in patients with bacterial meningitis. These patients have an increased risk of stroke.

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“…Many infectious diseases of the CNS have been associated with cerebrovascular disease, 22 24 25 37 40 49 such as, the parallelism between the inflammatory arteriopathy caused by NCC and that caused by tuberculous meningitis. In both conditions, the arteries at the base ofthe brain are surrounded by a dense exudate that causes inflammatory changes in the entire wall of perforating blood vessels.…”

Section: Discussionmentioning

confidence: 99%

Cysticercosis and cerebrovascular disease: a review.

Brutto

1992

Journal of Neurology, Neurosurgery & Psychiatry

122

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Ischaemic cerebrovascular disease is a relatively common but under-recognised complication of neurocysticercosis. It is usually caused by inflammatory occlusion of the arteries at the base of the brain secondary to cysticercotic arachnoiditis. In most cases, the involved vessels are of small diameter and the neurological picture is limited to a lacunar syndrome secondary to a small cerebral infarct. However, large infarcts related to the occlusion of the middle cerebral artery or even the internal carotid artery have also been reported in this setting. CT

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The Angiographic Demonstration of Arterial Vascular Disease in Purulent Meningitis

Cited by 72 publications

References 6 publications

Infectious Vasculopathy of Intracranial Large- and Medium-Sized Vessels in Neurological Intensive Care Unit: A Clinico-Radiological Study

Infectious Vasculopathy of Intracranial Large- and Medium-Sized Vessels in Neurological Intensive Care Unit: A Clinico-Radiological Study

Arterial cerebrovascular complications in 94 adults with acute bacterial meningitis

Cysticercosis and cerebrovascular disease: a review.

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