Ependymal Petechial Hemorrhages in Bacterial Meningitis

A 28-year-old male patient with a history of subacute sclerosing panencephalitis, secondary to measles infection as an infant presented to our neurology department with increasing gait difficulty and poor bladder control. An Ommaya reservoir was placed in the right frontal horn for intrathecal interferon therapy at the time of subacute sclerosing panencephalitis diagnosis 19 years ago. About a month before the current complaints, the patient experienced acute onset of seizures. This reservoir was removed at that time because of a clinical suspicion of bacterial meningitis and a lumbar puncture was positive for elevated protein with a decreased cerebrospinal fluid –to-serum glucose ratio.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Medical image Source Type: research