Department of Radiology, Methodist Healthcare of Memphis, University of Tennessee Health Science Center, Memphis, TN 38104, USA.
J Neurosurg. 2012 Jul;117(1):103-6. doi: 10.3171/2012.4.JNS111549. Epub 2012 May 11.
Arterial large vessel vasculopathy is an unusual complication of bacterial meningitis in adults that may result in cerebral ischemia and severe neurological sequelae. Previous therapy has included antimicrobials with no specific vascular interventions. The authors report their experience with a patient with bacterial meningitis who developed a vasculopathy with neurological deficits. Percutaneous intracranial intervention was used successfully with anatomical and functional improvement.
动脉大血管血管病是成人细菌性脑膜炎的一种不常见并发症,可导致脑缺血和严重的神经后遗症。既往的治疗包括使用抗生素而无特定的血管介入。作者报告了他们治疗细菌性脑膜炎患者并发血管病和神经功能缺损的经验。采用经皮颅内介入治疗成功,患者的解剖和功能均得到改善。