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Case report: Meningoencephalocele and recurrent bacterial meningitis in chronic idiopathic intracranial hypertension

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机构: [1]Third Hosp Shijiazhuang, Dept Neurol, Shijiazhuang 050000, Hebei, Peoples R China [2]Hengshui Peoples Hosp, Dept Emergency, Hengshui 053000, Hebei, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing 100053, Peoples R China [4]Hengshui Peoples Hosp, Dept Neurol, 180 Renmin East Rd, Hengshui 053000, Hebei, Peoples R China
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关键词: Meningoencephalocele Recurrent bacterial meningitis Chronic idiopathic intracranial hypertension

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Background Meningoencephalocele is a rare malformation caused by congenital and acquired lesions. The association between recurrent bacterial meningitis and meningoencephaloceles with cerebrospinal fluid (CSF) leak is reported in the literature. We report a rare case of meningoencephalocele secondary to chronic idiopathic intracranial hypertension as a result of hospitalization repeatedly for meningitis due to the lack of CSF leak. Case presentation This study presents a case of a patient with a decade of recurrent meningitis. With clinical symptoms and imaging examination with chronic idiopathic intracranial hypertension, this patient was diagnosed with meningoencephalocele. With the treatment of acetazolamide to decrease CSF product, the patient had no recurrence of meningitis over the 6-months follow-up period. Conclusion In patients with recurrent intracranial infections but no history of immunodeficiency, cranial trauma, or neurosurgery, the possibility of meningitis should be considered appropriately, even in the absence of CSF otorrhea or rhinorrhea.

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学
最新[2023]版:
大类 | 3 区 医学
小类 | 4 区 临床神经病学
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出版当年[2020]版:
Q3 CLINICAL NEUROLOGY
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Q3 CLINICAL NEUROLOGY

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第一作者机构: [1]Third Hosp Shijiazhuang, Dept Neurol, Shijiazhuang 050000, Hebei, Peoples R China
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