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Table 3 Characteristics of patients with meningitis and stroke

From: Arterial cerebrovascular complications in 94 adults with acute bacterial meningitis

 

Age

Pathogen

GCS

GOS

TCD

Stroke

Concomitant complications

Remarks

     

Time point

CBFv

Location

Time point

Imaging

Location

  
 

years

 

3-15

1-5

days

cm/s

 

days

    

1

79

S- pneum.

7

1

10

> 150

Basilar artery

12

MRI

Posterior circulation

Hydrocephalus, epileptic seizures, sepsis

Arterial narrowing on MRA

2

67

S. pneum.

3

1

12

300

All vessels

12

MRI

MCA, ACA, posterior circulation

Hydrocephalus, epileptic seizures, severe sepsis, subarachnoid hemorrhage

Arterial narrowing on digital subtraction angiography

3

27

N/A

5

1

1

> 150

posterior circulation

1

CT

left MCA and ACA,

posterior circulation

Severe sepsis

 

4

56

S. pneum.

9

2

51

> 150

N/A

51

MRI

posterior circulation

Hydrocephalus

Arterial narrowing on MRA

5

62

S. pneum.

7

2

 

250

All vessels

16

MRI

right MCA, posterior circulation

Hydrocephalus,

empyema,

paravertebral abscesses

 

6

65

S. pneum.

3

2

5

300

All vessels

21

MRI

right MCA

Hydrocephalus

epileptic seizures, sepsis

 

7

43

S. pneum.

9

2

7

180

All vessels

5

MRI

left ACA,

left MCA,

posterior circulation

subarachnoid hemorrhage

Arterial narrowing on digital subtraction angiography, Increased CBFv in TCD documented for 2 months

8

44

S. pneum.

5

3

0

210

All vessels

 

CT

left MCA

(watershade)

Hydrocephalus, bilateral hypakusis

Arterial narrowing on MRA

9

40

S. pneum.

12

3

9

270

All vessels

17

MRI

Posterior circulation

Hydrocephalus, cerebritis

 

10

77

N/A

12

3

23

258

Right and left MCA, posterior circulation

N/A

MRI

Posterior circulation

Intracranial hemorrhage

 

11

37

Gram-positive bacteria*

6

3

25

> 150

All vessels

17

MRI

Posterior circulation

Brain oedema, sepsis, ARDS, renal failure

 

12

64

E. coli

11

3

N/A

> 150

All vessels

1

MRI

left MCA

 

Endocarditis

13

37

S. pneum.

7

4

1

230

All vessels

18

MRI

Right and left MCA

Hydrocephalus, Hypakusis

 

14

42

S. agalacticae

11

N/A

0

230

Right and left MCA

1

MRI

Left ACA and MCA

 

Endocarditis

15

67

S. pneum.

7

4

10

< 150

All vessels

9

MRI

Right and left ACA

  

16

76

Pseud. aeruginosa

9

4

0

< 150

All vessels

0

MRI

Posterior circulation, left MCA

 

atrial fibrillation

  1. (*) On Gram stain, further differentiation not possible. ACA, anterior cerebral artery; CBFv, cerebral blood flow velocity; E. coli, Escherichia coli; GCS, Glasgow Coma Scale; GOS, Glasgow Coma Scale; MCA, medial cerebral artery; MRI, magnetic resonance imaging; Pseud., Pseudomonas; S. agalacticae, Streptococcus agalacticae; S. pneum., Streptococcus pneumonia; TCD, transcranial Doppler.