• 제목/요약/키워드: Recurrent meningitis

검색결과 17건 처리시간 0.031초

Recurrent Bacterial Meningitis Accompanied by A Spinal Intramedullary Abscess

  • Kim, Min-Seong;Ju, Chang-Il;Kim, Seok-Won;Lee, Hyun-Young
    • Journal of Korean Neurosurgical Society
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    • 제51권6호
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    • pp.380-382
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    • 2012
  • Bacterial meningitis is rarely complicated by an intradural spinal abscess, and recurrent meningitis is an uncommon presentation of a spinal intramedullary abscess. Here, we report a 63-year-old patient with recurrent meningitis as the first manifestation of an underlying spinal intramedullary abscess. To the best of our knowledge, no previous report has been issued on recurrent meningitis accompanied by a spinal intramedullary abscess in an adult. In this article, the pathophysiological mechanism of this uncommon entity is discussed and the relevant literature reviewed.

청소년기 여성에서 제2형 단순포진바이러스에 의한 재발성 뇌수막염 (Recurrent Herpes Simplex Virus Type-2 Meningitis in an Adolescent Girl)

  • 황윤수;김영서;박현영;박형종;조지현;박도심;조광호
    • Annals of Clinical Neurophysiology
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    • 제16권2호
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    • pp.77-80
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    • 2014
  • Herpes simplex virus type 2 (HSV2) meningitis primarily develops during or following a primary genital HSV2 infection that was acquired from sexual contact or through the birth canal during delivery from mother. We describe a 15 year old virgin without history of previous herpes simplex infection who developed 2 episodes of HSV2 meningitis. Although recurrent meningitis due to HSV is primarily seen in young or sexually active adults. HSV2 meningitis should be in the differential diagnosis of recurrent meningitis in adolescent patients.

두개골의 결손과 동반된 재발성 세균성 뇌막염 2례 (Recurrent Bacterial Meningitis Secondary to Cochlear Aplasia, Right and Acquired Cribriform Plate Defect due to Trauma)

  • 장수희;김선준;김정수
    • Pediatric Infection and Vaccine
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    • 제5권2호
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    • pp.283-288
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    • 1998
  • Recurrent meningitis in children is not only a potentially life threatening condition, but often involves the child in the trauma though repeated hospital admissions and multiple invasive investigations to find the underlying causes. Symptoms and signs of CSF rhinorrhea or otorrhea are infrequent in these patients and difficult to diagnose in young children. All young children treated for meningitis should then be administered an evoked potential audiometry as a post-treatment test. If sensorineural hearing loss is identified, the clinician should be alerted to the possibility of CSF leakage as the cause of the meningitis. Radiologic studies should be performed to rule out preexisting congenital, or acquired, abnormalities requiring surgical exploration. Two young children with recurrent meningitis due to a right cochlear aplasia and a cribriform plate defect caused by trauma are presented to illustrate the problems of diagnosis and management. A review of literatures will also be presented briefly.

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Mollaret Meningitis로 진단한 무균성 뇌막염 1례 (A Case Mollaret Meningitis)

  • 정민경;성태정;김자경;양윤정;홍영진
    • Pediatric Infection and Vaccine
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    • 제7권1호
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    • pp.159-164
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    • 2000
  • 저자들은 14세 남아에서 4년간 3차례 발병한 Mollaret meningitis 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. 아울러 정확한 진단과 감별을 위해 뇌척수액의 세포학적 검사, herpes virus 동정, 뇌자기공명촬영 추적 검사 등이 필요할 것으로 사료된다.

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두개저 이상을 동반한 재발성 세균성 뇌수막염 증례보고 (A Case Report of Recurrent Bacterial Meningitis with a Skull Base Abnormality)

  • 오정민;이지연;임희정;조현혜;김경효
    • Pediatric Infection and Vaccine
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    • 제27권1호
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    • pp.69-76
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    • 2020
  • 8세부터 17세까지 4회의 세균성 뇌수막염을 경험하였던 21세 남자에서 세균성 뇌수막염이 재발하였고, 혈액과 뇌척수액에서 group B streptococcus (GBS)가 배양되었다. GBS에 의한 성인 뇌수막염의 사례는 흔하지 않으며, 본 증례 환자의 경우에도 과거 소아청소년시기에 재발했던 뇌수막염의 원인은 Streptococcus pneumoniae였다. 저자들은 세균성 뇌수막염이 재발하는 원인 중 환자의 면역 결핍 여부에 대해서는 검사를 통해 배제하였고, 기존의 여러 연구결과에 비추어보아 첫 발병 시부터 존재했던 두개저 해부학적 이상이 S. pneumoniae에 의한 뇌수막염 재발의 원인이라고 판단하였다. 나아가 성인이 되어 GBS 뇌수막염이 발병한 이유는 GBS 혈청형에 대한 옵소닌 포식항체의 혈청학적 유병률을 조사한 연구에 비추어보아 증례 환자가 GBS Ib에 대한 항체가 음성인 경우라면, 해부학적 결함이 해결되지 않은 상태가 코인두 보균이 침습 감염을 일으킬 수 있는 경로가 되어 발병한 사례라고 생각하였다. 환자는 3주 간 항생제 치료 후 임상 경과가 호전되어 퇴원 후 다른 병원에서 수막종과 동반된 뇌기저부의 뇌척수액 누출을 확진 받고 수술을 받았다. 환자는 앞으로도 세균성 뇌수막염 재발 여부와 후유증으로 치료받고 있는 뇌전증에 대해 지속적인 추적관찰이 필요하다.

C7 결핍증과 연관된 재발성 수막구균 혈증 1례 (A Case of Deficiency of the Seventh Component of Complement with Recurrence of Meningococcal Meningitis and Septicemia)

  • 이종승;유정민;유수정;고태성;유한욱
    • Pediatric Infection and Vaccine
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    • 제11권2호
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    • pp.212-215
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    • 2004
  • 보체계는 우리 몸에서 감염에 대한 초기 방어를 담당하는데 그중 후기 보체 성분의 결핍시 수막구균의 감염에 쉽게 노출된다. 특히 재발 감염된 수막구균 혈증 환자에서 보체계의 검사가 반드시 필요할 것으로 생각되는 바이다. 저자들은 재발성 수막구균 혈증으로 치료받은 환자에서 C7 결핍증을 경험하였기에 이를 보고하는 바이다.

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An Intramedullary Neurenteric Cyst in the Conus Medullaris with Recurrent Meningitis

  • Park, Yeul-Bum;Kim, Seong-Ho;Kim, Sang-Woo;Chang, Chul-Hoon
    • Journal of Korean Neurosurgical Society
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    • 제41권2호
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    • pp.130-133
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    • 2007
  • Neurenteric cysts are rare congenital lesions of the spine that are lined with endodermal epithelium. Their most common location is the cervico-dorsal region, and the mass usually lies ventral to the spinal cord. However the conus medullaris area location is an uncommon location. Neurenteric cysts are best treated by decompression and as near total excision of cyst membrane as possible. We report a case of a 7 year-old-girl with a neurenteric cyst in the conus medullaris. The patient had a history of meningitis and a gait disturbance. Magnetic resonance imaging [MRI] showed an intramedullary mass lesion in the conus medullaris with syringomyelia. There was no associated bone or soft-tissue anomaly. The mass was subtotally removed through a posterior approach. However 4 months later, meningeal irritation signs developed and MRI showed recurrence of the cyst. At the second operation, the cystic membrane was totally removed and the patient's neurological symptoms improved postoperatively. We reports a case of recurred neurenteric cyst occurred in unusual location with the review of literature.

재발성 뇌막염에 동반된 외임파누공 (CONGENITAL PERILYMPH FISTULA WITH RECURRENT MENINGITIS)

  • 장선오;정필상;김종선
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1987년도 제21차 학술대회 연제순서 및 초록
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    • pp.7.1-7
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    • 1987
  • 청력장애가 있고 반복성 뇌막염을 앓는 환자에서는 일단 외임파누공을 의심하고 이에 대한 이비인후과 의사의 철저한 진찰 및 검사를 통해 진단 및 치료에 임해야 하겠다. 저자들은 최근에 경험한 재발성 뇌막염 환아에서 외임파누공을 진단하고 치료한 2예를 보고하고자 한다. 선천적으로 청력장애가 있고 수술전 1년동안 5∼6회의 뇌막염을 앓은 환아를 이학적검사, 청력검사 및 전산화 단층촬영을 이용하여 외임파누공을 진단하고 근막을 포함한 연조직으로 누공을 봉쇄하는 수술적 요법을 사용하여 완치시켰기에 문헌고찰과 함께 보고하는 바이다.

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Feasibility of Endoscopic Endonasal Approach for Recurrent Pituitary Adenomas after Microscopic Trans-Sphenoidal Approach

  • Hwang, Joo Min;Kim, Yong Hwy;Kim, Jin Wook;Kim, Dong Gyu;Jung, Hee-Won;Chung, Young Seob
    • Journal of Korean Neurosurgical Society
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    • 제54권4호
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    • pp.317-322
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    • 2013
  • Objective : The surgical approach for recurrent pituitary adenoma after trans-sphenoidal approach (TSA) is challenging. We report the outcomes of the endoscopic TSA for recurrent pituitary adenoma after microscopic TSA. Methods : From February 2010 to February 2013, endoscopic TSA was performed for removal of 30 recurrent pituitary adenomas after microscopic TSA. Twenty-seven (90%) patients had a clinically non-functioning pituitary adenoma. Twenty-four (80%) patients suffered from a visual disturbance related to tumor growth. The clinical features and surgical outcomes were retrospectively analyzed for the ophthalmological, endocrinological, and oncological aspects. Results : The mean tumor volume was 11.7 $cm^3$, and gross total resection was achieved in 50% of patients. The volumetric analysis based on the postoperative MR showed that the mean extent of resection rates were 90%. Vision was improved in 19 (79%) of 24 patients with visual symptoms, and endocrinological cure was achieved in all of three functioning pituitary adenomas; however, the post-operative follow-up endocrinological examination revealed a new endocrinological deficit in one patient. Two patients required antibiotics management for post-operative meningitis. Conclusion : The endoscopic TSA can be an effective treatment option for recurrent pituitary adenoma after microscopic TSA with acceptable outcome.