A previously healthy 25-yr-old female developed flaccid areflexic tetraplegia, with intact cranial nerve function, 36 h after the diagnosis of bacterial meningitis. Polymerase chain reaction studies of cerebrospinal fluid and blood were positive for Neisseria meningitidis, serogroup B. Magnetic resonance of the cervicothoracic spine revealed increased signal intensity and expansion in the lower...

Two infants, an 11-month-old boy and a 7-month-old girl, presented with subarachnoidal abscess associated with severe bacterial meningitis refractory to intensive managements with antibiotics. Computed tomography (CT) revealed bifrontal extracerebral low-density areas and remarkably enhanced surfaces of the bilateral frontal lobes postcontrast. Surgical exploration disclosed thick pus accumulat...

stress. On examination she was emaciated with a large tender tympanitic swelling which occupied the left side of the abdomen. Plain abdominal radiograms showed a dilated stomach and duodenum with the characteristic 'double bubble' of distal duodenal obstruction; nasogastric aspiration obtained 2600 ml of bile-stained fluid. A barium meal defined a linear vertical obstruction to the third part o...

Neurosurgical Division of the Hospital Geral Santa Isabel, João Pessoa PB, Brazil;Associated Physician. The true importance of performing a watertight dural closure, for neurological procedures, is to avoid several complications such as cerebrospinal fluid (CSF) leakage, pseudomeningocele (PSM), meningitis, cerebral abscess, tonsilar herniation, hydrocephalus, etc. A variety of materials has be...

INTRODUCTION Streptococcus pneumoniae is the leading cause of bacterial meningitis. Young children, the elderly and those who are immunocompromised or who suffer from chronic diseases have the highest risk of developing pneumococcal meningitis. A 7-valent pneumococcal conjugate vaccine (PCV7) was licensed in 2000 in the US and in 2001 in Europe. METHODS A literature search was performed in Pu...

Objective: To compare the findings of cranial ultrasound and computed tomographic (CT) scans in infants with post-meningitis complications. Methodology: A prospective analysis 124 consecutive term was conducted department radiology at Pakistan Institute Medical Sciences, Islamabad from August 2021 to April 2022. Transfontanelle ultrasonography performed a two-dimensional Sonoace 1500 scanner (M...

Introduction: External ventricular drains (EVD) represent one of the most prevalent neurosurgical procedures, providing treatment elevated intracranial pressure while also enabling real-time monitoring. However, incidence complications is increasing, with rate EVD-associated hemorrhage alone ranging up to 41%. Additional complications, including misplacement, dislodgment, blockage and infection...

This paper describes the Integrated Remote Neurosurgical System (IRNS), a remotely-operated neurosurgical microscope with high-speed communications and a surgeon-accessible user interface. The IRNS will allow high quality bidirectional mentoring in the neurosurgical suite. The research goals of this effort are twofold: to develop a clinical system allowing a remote neurosurgeon to lend expertis...