Hatano Akiko, Akiyama Katsunori, Nagayama Masao, Takagi Shigeharu
Department of Neurology, Tokai University School of Medicine.
Rinsho Shinkeigaku. 2006 Sep;46(9):658-60.
We reported a 46-year-old woman with Marfan's syndrome exhibiting an incomplete Currarino triad and recurrent bacterial meningitis which recurred three times in about six months. An anterior sacral meningocele (ASM) was noted in a lumbar MRI, and multiple bone defects in the sacrum were noted in 3D-CT. Surgical approach to prevent the recurrence of infection was limited to plasty for the meningocele, but no meningitis has been observed for two years. Radical surgery should be considered in cases with ASM who recurred bacterial meningitis.
我们报告了一名46岁患有马凡氏综合征的女性,其表现为不完全性库拉里诺三联征,并反复发生细菌性脑膜炎,在大约六个月内复发了三次。腰椎MRI检查发现骶前脑脊膜膨出(ASM),三维CT检查发现骶骨有多处骨缺损。预防感染复发的手术方法仅限于脑脊膜膨出修补术,但两年内未观察到脑膜炎复发。对于复发细菌性脑膜炎的ASM患者,应考虑进行根治性手术。