Meningococcal Encephalitis associated with cerebellar tonsillar herniation and acute cervicomedullary injury. (August 2013)

• Record Type: Journal Article
• Authors: Fayeye, O.; Pettorini, B. L.; Smith, M.; Williams, H.; Rodrigues, D.; Kay, A.
• Is Part Of: British journal of neurosurgery. Volume 27:Number 4(2013:Aug.)
• Page Start: 513
• Page End: 515
• Publication Date: 2013-08
• Subjects: cervicomedullary junction injury -- Group B meningococcus -- hindbrain herniation -- meningoencephalitis; Nervous system -- Surgery -- Periodicals; 617.48
• DOI: 10.3109/02688697.2013.764967
• Languages: English
• ISSNs: 0268-8697

Abstract

Abstract: A 13-year-old girl presented with a progressive ascending paralysis, bulbar dysfunction and finally respiratory arrest. Magnetic resonance (MR) showed acute cervicomedullary injury and hindbrain herniation. An emergency foramen magnum decompression and external ventricular drainage insertion were performed, and meningococcal infection was diagnosed. The patient recovered completely. Meningococcal encephalitis may have an atypical presentation, and a surgery can optimise the outcome.