All issues > Volume 37(5); 1994

Case Report

J Korean Pediatr Soc. 1994;37(5):707-711. Published online May 15, 1994.

A Case of Cerebral Infarction and Subdural Hemorrhage after Aseptic Meningitis

Hyun Mi HM Kim¹, Si Whan SW Koh¹, Kyung Hwan KH Oh¹, Young Chang YC Kim¹, Sang Joo SJ Lee¹

¹Department of Pediatrics, SoonChungHang University, College of Medicine, Seoul, Korea

Abstract

After aseptic or septic meningitis, some neurologic complications such as convulsions, delirium, rigidity, cerebral infarctions and cerebral hemorrhage can be developed. The cerebral infarction after meningitis is caused by arterial or venous occlusions. Involvement of small perforating arteries leads to ganglionic infarcts while severe sapsm of major vessels may lead to massive infarctions in the distribution of middle and/or anterior cerebral arteries. Cortical venous and/or dural thrombosis(especially in the superior sagittal sinus) produces typical features, including multiple areas of white matter hemorrhagic infarction. These neurologic complications are common in bacterial meningitis and very rare in aseptic meningitis. We experienced a case of cerebral infarction in MCA/ACA territory and subdural hemorrhage in occipital lobe after aseptic meningitis in 10 month-old-boy. We report a case with a brief review of related literature.

Keywords :Cerbral infarction, Aseptic meningitis