Persistent dysexecutive syndrome after pneumococcal meningitis complicated by recurrent ischemic strokes:A case report  

作　　者：Laura Abbruzzese Giulia Martinelli Giulia Salti Benedetta Basagni Alessio Damora Cristiano Scarselli Giulia Peppoloni Aleksandra Podgorska Giuliana Rosso Marco Bacci Alba Rosa Alfano MAURO MANCUSO 

机构地区：[1]CRT,Tuscany Rehabilitation Clinic,Montevarchi,Arezzo 52025,Italy [2]Physical and Rehabilitative Medicine Unit,NHS ASL-Tuscany South Est,Grosseto 58100,Italy [3]Department of Internal Medicine and Medical Specialties,UOC Geriatrics,Sapienza University of Rome,Rome 00185,Italy

出　　处：《World Journal of Clinical Cases》2023年第22期5344-5350,共7页世界临床病例杂志

摘　　要：Meningitis is a possible complication of pneumococcal infection concerning acute otitis media and sinusitis.It might compromise cognitive function,both for the infection itself and the vascular events that sometimes follow the acute phase.CASE SUMMARY Here we describe the case of a 32-year-old female patient admitted to the emergency room due to extensive pneumococcal meningitis as a consequence of sinus outbreak.She presented with extensive laminar ischemic damage in the acute phase,resulting in severe cognitive and behavioural impairment.Four years of follow-up,through neuropsychological assessments and neuroradiological investigations,demonstrated the presence of subsequent vascular events,3 months and 2 years after onset.CONCLUSION The case is discussed in light of scientific knowledge of the long-term outcomes of this pathology in order to potentially improve diagnosis and promote better outcomes.

关 键 词：Pneumococcal meningitis Stroke Cognitive and behavioural functioning Long-term outcome Case report 

分 类 号：R743.3[医药卫生—神经病学与精神病学]