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A Case of Cerebral Infarction and Subdural Hemorrhage after Aseptic Meningitis

Journal of the Korean Pediatric Society 1994;37(5):707-711.
Published online May 15, 1994.
A Case of Cerebral Infarction and Subdural Hemorrhage after Aseptic Meningitis
Hyun Mi Kim, Si Whan Koh, Kyung Hwan Oh, Young Chang Kim, Sang Joo Lee
Department of Pediatrics, SoonChungHang University, College of Medicine, Seoul, Korea
무균성 뇌막염 후에 발생한 뇌경색증 및 뇌출혈 1례
김현미, 고시환, 오경환, 김영창, 이상주
순천향대학교 의과대학 소아과학교실
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.
Key Words: Cerbral infarction, Aseptic meningitis

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