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KMID : 1143720130090020142
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Korean Journal of Neurotrauma
2013 Volume.9 No. 2 p.142 ~ p.145
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Delayed Meningitis Complicated by the Frontal Sinus Opening to the Dura Mater in a Patient with Intracranial Injury Fifteen Years Ago
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Shin Jae-Sik
Oh Sung-Han
Chung Bong-Sub
Rhim Jong-Kook
Lee Chung-Jae
Choi Jong-Won
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Abstract
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Meningitis is the inflammation of the membranes of the brain and spinal cord. This disease is considered life threatening and classified as a medical and emergency. Here we report a case of delayed meningitis occurred in a patient with craniotomy for traumatic brain injury fifteen years ago. Meanwhile, he had been well, however he complained of headache for five days. A brain computed tomographic scan showed air density on the frontal lobe with frontal sinus defect and pansinusitis. His mental state was suddenly changed to stuporous, despite a day of empirical antibiotics. Therefore, a successful cranialization was performed and he was gradually improved. This is a rare case report. Our case shows that surgical intervention is to be considered in some cases of posttraumatic meningitis for effective and rapid control of infection.
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KEYWORD
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Basal skull fracture, Cranialization, Meningitis
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