Papaceit Vidal J, Linares Gil M J, del Moral M V
Servicios de Anestesiología y Reanimación, Hospital de Sabadell, Barcelona.
Rev Esp Anestesiol Reanim. 1990 May-Jun;37(3):153-5.
We report a case of aseptic meningitis after intradural anesthesia in a 70-year-old male. Clinical features developed 4 hours after surgery, and they consisted of high fever, severe headache, drowsiness and temporospatial disorientation, without signs of meningeal irritation. The analysis of cerebrospinal fluid (CSF) showed pleocytosis, normal biochemical findings, and absence of microorganisms both in Gram stain and in culture. The outcome was favorable, and the clinical features disappeared within 48 hours without antibiotic therapy.
我们报告一例70岁男性硬膜内麻醉后发生无菌性脑膜炎的病例。临床症状在术后4小时出现,包括高热、严重头痛、嗜睡和时空定向障碍,无脑膜刺激征。脑脊液(CSF)分析显示细胞增多、生化检查结果正常,革兰氏染色和培养均未发现微生物。预后良好,未经抗生素治疗,临床症状在48小时内消失。