BACKGROUND African children have some of the highest rates of bacterial meningitis in the world. Bacterial meningitis in Africa is associated with high case fatality and frequent neuropsychological sequelae. The objective of this study is to present a comprehensive review of data on bacterial meningitis sequelae in children from the African continent. METHODS We conducted a systematic literat...

sinus is a rare entity, with fewer than 20 cases reported in the literature1. We describe the unique computed tomogram (CT) and magnetic resonance (MR) imaging findings of an infant presenting with cerebellar abscesses and secondary obstructive hydrocephalus resulting from an occipital dermoid cyst with a complete dermal sinus, confirmed at operation. Early neurosurgical intervention is advocat...

Subdural empyema is a rare condition, seen only two or three times a year in the average neurosurgical unit in patients usually referred Subdural empyema should be consid by general physicians. Overall mortality remains as high as 28%' with signs of meningitis who has a su despite surgical drainage and treatment with antibiotics. We infection outside the central nervous describe three patients ...

Published accounts of tuberculous meningitis usually include intracranial tumour in the differential diagnosis. However, the two conditions are only likely to be confused when tuberculous meningitis is complicated by a tuberculoma or when there is diffuse infiltration of the subarachnoid space by malignant cells. As the latter causes an increase in both the cell and protein content of the cereb...

Recurrent attacks of bacterial meningitis usually follow in the wake of cranial trauma(l). However, other important factors like sinusitis, mastoiditis, congenital dermal sinuses(2-5) and immunological causes related to humoral immunity and the complement system(6) are also important. Recurrent bouts of meningitis may also be seen with intracranial dermoids(7). The published reports on recurren...

BACKGROUND The mortality rate due to Acinetobacter baumannii nosocomial meningitis (ANM) is high. OBJECTIVE The aim of this study was to evaluate the factors that have influence over the outcomes in ANM patients. METHODS A retrospective analysis of 22 cases of ANM was conducted in a hospital with high incidence of multidrug resistance. RESULTS The mean age of patients was 43 years (21 to ...

PURPOSE Meningitis is a serious concern after traumatic brain injury (TBI) or neurosurgery. This study tested the level of reactive oxygen species (ROS) in cerebrospinal fluid (CSF) to diagnose meningitis in febrile patients several days after trauma or surgery. METHODS Febrile patients (temperature > 38°C) after TBI or neurosurgery were included prospectively. ROS were measured in CSF within...

The value of cerebrospinal fluid (CSF) lactate level and CSF/blood glucose ratio for the identification of bacterial meningitis following neurosurgery was assessed in a retrospective study. During a 3-year period, 73 patients fulfilled the inclusion criteria and could be grouped by preset criteria in one of three categories: proven bacterial meningitis (n = 12), presumed bacterial meningitis (n...