Van Egeraat S.C.I., Van Munster E.T.L., Bodewes H.W., Van Der Hoeven J.G.
Department of Neurology, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.
Eur J Intern Med. 2003 Oct;14(6):383-385. doi: 10.1016/s0953-6205(03)90007-0.
Spinal cord infarction is a rare complication of bacterial meningitis and is, therefore, generally unknown. We describe a patient who developed a flaccid paraparesis 2 weeks after being diagnosed with meningococcal meningitis. The etiology of spinal cord infarction is multifactorial, but vascular mechanisms and coagulation abnormalities play an important role. Epidural hemorrhage and spinal abscess should be considered in the differential diagnosis.
脊髓梗死是细菌性脑膜炎的一种罕见并发症,因此通常不为人所知。我们描述了一名在被诊断为脑膜炎球菌性脑膜炎2周后出现弛缓性截瘫的患者。脊髓梗死的病因是多因素的,但血管机制和凝血异常起着重要作用。在鉴别诊断中应考虑硬膜外出血和脊髓脓肿。