Clinic of Infectious Diseases, University Clinical Centre of Kosovo, Mother Theresa Street, 10 000, Prishtina, Kosovo.
J Trop Pediatr. 2012 Apr;58(2):139-42. doi: 10.1093/tropej/fmr040. Epub 2011 Aug 25.
Neurologic complications of bacterial meningitis can occur any time during the course of the disease and some of them need neurosurgical aproach.
to determine the incidence of neurologic complications of bacterial meningitis in children requring neurosurgical treatment.
a total of 277 children were followed and treated for bacterial meningitis at the Clinic of Infectious Diseases in Prishtina. The authors have analyzed cases who developed acute neurologic complications and treatment procedures.
of the 277 children treated for bacterial meningitis, due to the suspicion for neurologic complications, 109 children underwent a head computerized tomography scan. About 47 cases (43%) had evident structural abnormalities while only 15/277 cases (5%) required neurosurgical treatment; 9/38 cases with subdural collections, 5 cases with hydrocephalus and 1 case of spinal abscess.
Neurosurgical intervention were not common in pediatric bacterial meningitis cases (5%) but were highly significant in cases complicated with acute neurologic complications (32%).
目的：确定需要神经外科治疗的细菌性脑膜炎患儿的神经并发症发生率。
材料与方法：对在普里什蒂纳传染病诊所接受细菌性脑膜炎治疗的 277 名儿童进行了随访。作者分析了出现急性神经并发症的病例及治疗过程。
结果：在因疑似神经并发症而行头颅计算机断层扫描的 277 例细菌性脑膜炎患儿中，47 例（43%）存在明显的结构性异常，而仅 15/277 例（5%）需要神经外科治疗；9/38 例硬膜下积液、5 例脑积水和 1 例脊髓脓肿。
结论：神经外科干预在儿科细菌性脑膜炎病例中并不常见（5%），但在伴有急性神经并发症的病例中具有重要意义（32%）。
