Gironell A, Domingo P, Mancebo J, Coll P, Martí-Vilalta J L
Department of Neurology, University of Barcelona, Catalonia, Spain.
Clin Infect Dis. 1995 Dec;21(6):1488-91. doi: 10.1093/clinids/21.6.1488.
We describe three adults who had hemorrhagic strokes during the acute phase of bacterial meningitis (BM). We also report the results of a literature review and a review of the charts of 296 adults treated at our hospital for acute BM. The diagnosis of hemorrhagic stroke was made based on the results of cerebral computed tomography (CT) for two of 92 patients with BM who had CT performed and by means of lumbar puncture and a postmortem study in one other case. Two patients died of cerebral bleeding. Although the frequency of hemorrhagic stroke was only 2.1% among adults with acute BM, it is a major determinant of prognosis for such patients.
我们描述了三名在细菌性脑膜炎（BM）急性期发生出血性中风的成年人。我们还报告了文献综述的结果以及对我院收治的296例急性BM成年患者病历的回顾。92例接受脑部计算机断层扫描（CT）的BM患者中，有2例根据CT结果诊断为出血性中风，另一例通过腰椎穿刺和尸检确诊。两名患者死于脑出血。尽管急性BM成年患者中出血性中风的发生率仅为2.1%，但它是这类患者预后的主要决定因素。
