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Spastic tetraparesis as a sequela of bacterial meningitis

S.V. T.-Barros, T. A.-Beherens, A. R.-Cardozo, A.R. Silva, N.T. Rotta, L. Ohlweiler [REV NEUROL 2003;37:722-725] PMID: 14593628 DOI: https://doi.org/10.33588/rn.3708.2003111

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Volumen 37 | Number 08 | Nº of views of the article 14.351 | Nº of PDF downloads 893 | Article publication date 16/10/2003

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ABSTRACT

AIMS. The aim of this study is to demonstrate the incidence of spastic tetraparesis (ST) in meningitis patients in the paediatric ICU, together with the associated variables, and establish comparisons with the existing literature.

PATIENTS AND METHODS We reviewed the medical records of patients who presented symptoms of meningitis and required hospital treatment in the Paediatric ICU at the Hospital de Clínicas de Porto Alegre, between January 1985 and June 2001. In addition to the diagnosis of meningitis and the incidence of ST as a complication, we also examined the aetiological agent, sex, age at the moment of hospital admittance, length of time spent in hospital and treatment given in each case. RESULTS and

DISCUSSION An incidence of 15.1% was found for cerebral palsy in the 112 cases of bacterial meningitis that were followed up clinically. In the patients with ST, the time spent in hospital was longer, and the frequency of seizures, intracranial hypertension and the protein concentration levels in CSF were higher (p < 0.05). KeywordsCentral nervous system Incidence Spastic tetraparesis CategoriesInfecciones

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Original

Spastic tetraparesis as a sequela of bacterial meningitis