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Computed Tomography in Purulent Meningitis

Computed Tomography in Purulent Meningitis Abstract • Of 102 patients with bacterial meningitis admitted to the Children's Hospital of Buenos Aires, 25 were selected for computed tomographic (CT) scans on the basis of altered consciousness for more than 96 hours after admission, persistent or recurrent seizures after 72 hours of antibiotic therapy, development of focal neurologic signs, increased intracranial pressure, or prolonged fever. Scan findings included hydrocephalus, cerebritis, vasculitis, subdural effusion, cerebral atrophy, abscess, and ependymitis. Serial CT scans demonstrated the progression or regression of some complications. The CT scan was very useful in indicating the need for neurosurgical procedures. (Am J Dis Child 1982;136:495-501) References 1. Ryan J: The meningitis problem in children . J Indiana State Med Assoc 1975:68:255-260. 2. Lindberg J, Rosenhall V, Nylen O, et al: Long-term outcome of Haemophilus influenzae meningitis related to antibiotic treatment . Pediatrics 1977;60:1-6. 3. Raimondi AJ, Di Rocco C: Cerebral angiography in meningocerebral inflammatory diseases in infancy and childhood: A study of 35 cases . Neurosurgery 1978;3:37-44.Crossref 4. Dodge PR, Swartz MN: Bacterial meningitis: a review of selected aspects: II. Special Neurologic problems, post-meningitic complications and clinicopathologic correlations . N Engl J Med 1965;272:954-960.Crossref 5. Ambrose J: Computerized x-ray scanning of the brain . J Neurosurg 1974;40:679-695.Crossref 6. Ambrose J: Computerized transverse axial scanning (tomography): II. Clinical application . Br J Radiol 1973;46:1023-1047.Crossref 7. Ambrose J, Housfield G: Computerized transverse axial tomography . Br J Radiol 1973;46:148-149.Crossref 8. Stovring J, Snyder RD: Computed tomography in childhood bacterial meningitis . J Pediatr 1980;96:820-823.Crossref 9. Snyder RD, Stovring J: The follow-up CT scan in childhood meningitis . Neuroradiology 1978;16:22-23.Crossref 10. Carrea R, Leiguarda R, Lyly KP: The impact of computed tomography on the management of hydrocephalic children. Read before the fifth scientific meeting of the International Society for Pediatric Neurosurgery, Guarujá (Brazil), June 26-28, 1977. 11. Bilaniuk LT, Zimmerman RA, Brown L, et al: Computed tomography in meningitis . Neuroradiology 1978;16:13-14.Crossref 12. Brinell VS, Bentson JR, Helmer E, et al: Diagnosis of interhemispheric subdural empyema by computed tomography . Comput Axial Tomogr 1977;1:99-105.Crossref 13. Lyons EL, Leeds NE: The angiographic demonstration of arterial vascular disease in purulent meningitis . Radiology 1967;88:926-938.Crossref 14. Cockrill HH Jr, Dreisbach J, Lowe B, et al: Computed tomography in leptomeningeal infections . Am J Roentgenol 1978;130:511-515.Crossref 15. New PFJ, Scott WR: Computed tomography of the brain and orbit . Baltimore. Williams & Wilkins Co, 1975, pp 362-369. 16. New PFJ, Davis KR, Bellentine HT: Computed tomography in cerebral abscess . Radiology 1976;121:641-664.Crossref 17. Zimmermann RA, Patel S, Bilaniuk LT: Demonstration of purulent bacterial intracranial infections by computed tomography . Am J Roentgenol 1976;127:155-165.Crossref 18. Newton HT, Norman D, Alnort EC, et al: The CT scan in infectious diseases of the CNS , in Norman D, Korbkin M, Newton TH (eds): Computed Tomography . St Louis, CV Mosby Co, 1977; pp 317-336. 19. Daum RS, Sheifele DW, Syriopoulou, et al: Ventricular involvement in experimental Hemophilus influenzae meningitis . J Pediatr 1978;93:927-930.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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References (24)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1982.03970420019003
Publisher site
See Article on Publisher Site

Abstract

Abstract • Of 102 patients with bacterial meningitis admitted to the Children's Hospital of Buenos Aires, 25 were selected for computed tomographic (CT) scans on the basis of altered consciousness for more than 96 hours after admission, persistent or recurrent seizures after 72 hours of antibiotic therapy, development of focal neurologic signs, increased intracranial pressure, or prolonged fever. Scan findings included hydrocephalus, cerebritis, vasculitis, subdural effusion, cerebral atrophy, abscess, and ependymitis. Serial CT scans demonstrated the progression or regression of some complications. The CT scan was very useful in indicating the need for neurosurgical procedures. (Am J Dis Child 1982;136:495-501) References 1. Ryan J: The meningitis problem in children . J Indiana State Med Assoc 1975:68:255-260. 2. Lindberg J, Rosenhall V, Nylen O, et al: Long-term outcome of Haemophilus influenzae meningitis related to antibiotic treatment . Pediatrics 1977;60:1-6. 3. Raimondi AJ, Di Rocco C: Cerebral angiography in meningocerebral inflammatory diseases in infancy and childhood: A study of 35 cases . Neurosurgery 1978;3:37-44.Crossref 4. Dodge PR, Swartz MN: Bacterial meningitis: a review of selected aspects: II. Special Neurologic problems, post-meningitic complications and clinicopathologic correlations . N Engl J Med 1965;272:954-960.Crossref 5. Ambrose J: Computerized x-ray scanning of the brain . J Neurosurg 1974;40:679-695.Crossref 6. Ambrose J: Computerized transverse axial scanning (tomography): II. Clinical application . Br J Radiol 1973;46:1023-1047.Crossref 7. Ambrose J, Housfield G: Computerized transverse axial tomography . Br J Radiol 1973;46:148-149.Crossref 8. Stovring J, Snyder RD: Computed tomography in childhood bacterial meningitis . J Pediatr 1980;96:820-823.Crossref 9. Snyder RD, Stovring J: The follow-up CT scan in childhood meningitis . Neuroradiology 1978;16:22-23.Crossref 10. Carrea R, Leiguarda R, Lyly KP: The impact of computed tomography on the management of hydrocephalic children. Read before the fifth scientific meeting of the International Society for Pediatric Neurosurgery, Guarujá (Brazil), June 26-28, 1977. 11. Bilaniuk LT, Zimmerman RA, Brown L, et al: Computed tomography in meningitis . Neuroradiology 1978;16:13-14.Crossref 12. Brinell VS, Bentson JR, Helmer E, et al: Diagnosis of interhemispheric subdural empyema by computed tomography . Comput Axial Tomogr 1977;1:99-105.Crossref 13. Lyons EL, Leeds NE: The angiographic demonstration of arterial vascular disease in purulent meningitis . Radiology 1967;88:926-938.Crossref 14. Cockrill HH Jr, Dreisbach J, Lowe B, et al: Computed tomography in leptomeningeal infections . Am J Roentgenol 1978;130:511-515.Crossref 15. New PFJ, Scott WR: Computed tomography of the brain and orbit . Baltimore. Williams & Wilkins Co, 1975, pp 362-369. 16. New PFJ, Davis KR, Bellentine HT: Computed tomography in cerebral abscess . Radiology 1976;121:641-664.Crossref 17. Zimmermann RA, Patel S, Bilaniuk LT: Demonstration of purulent bacterial intracranial infections by computed tomography . Am J Roentgenol 1976;127:155-165.Crossref 18. Newton HT, Norman D, Alnort EC, et al: The CT scan in infectious diseases of the CNS , in Norman D, Korbkin M, Newton TH (eds): Computed Tomography . St Louis, CV Mosby Co, 1977; pp 317-336. 19. Daum RS, Sheifele DW, Syriopoulou, et al: Ventricular involvement in experimental Hemophilus influenzae meningitis . J Pediatr 1978;93:927-930.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jun 1, 1982

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