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KMID : 0391520060140020348
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Journal of the Korean Child Neurology Society
2006 Volume.14 No. 2 p.348 ~ p.352
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A Case of Pneumococcal Meningitis Associated with Posttraumatic Cerebrospinal Fluid Rhinorrhea.
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Kim Eun-Joo
Shin Seon-Hee
Sung Tae-Jung
Kim Sung-Koo
Song Myoung-Hoon
Lee Kon-Hee
Yoon Hae-Sun
Kim Hong-Dae
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Abstract
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Bacterial meningitis after head trauma is a rare complication, but the cerebrospinal fluid(CSF) leakage after head trauma greatly increases the risk of bacterial meningitis. Most of the infections passes through the defects in the basal skull fracture, and Streptococcus pneumoniae is the most common organism. MRI, coronal thin sections of cranial CT and radioiosotope cisternography are considered to diagnose the CSF fistulae. We report a case of a 14-year-old girl with pneumococcal meningitis complicated by CSF rhinorrhea following an asymptomatic period of 3 years after head trauma. We found a bone defect of the cribrium of the skull base by means of paranasal sinus CT scanning and MRI.
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KEYWORD
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Posttraumatic meningitis, CSF rhinorrhea
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