Pneumococcal meningitis. Late neurologic sequelae and features of prognostic impact
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Pneumococcal meningitis. Late neurologic sequelae and features of prognostic impact. / Bohr, V; Paulson, O B; Rasmussen, N.
In: Archives of Neurology, Vol. 41, No. 10, 10.1984, p. 1045-9.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Pneumococcal meningitis. Late neurologic sequelae and features of prognostic impact
AU - Bohr, V
AU - Paulson, O B
AU - Rasmussen, N
PY - 1984/10
Y1 - 1984/10
N2 - We interviewed and neurologically reexamined 94 patients who had previous pneumococcal meningitis. The findings were allocated into groups with and without a causal relationship to the meningitis. The main sequelae after meningitis were dizziness (23%), tiredness (22%), mild memory deficits (21%), and gait ataxia (18%), whereas other focal neurologic signs were rare. By a rating (0 to 5) of the presence and severity of sequelae after meningitis, 54% of the patients were found to have sequelae. The clinical condition at the time of acute illness was studied in subgroups of patients who had different neurologic sequelae or high sequelae ratings. Gait ataxia was associated with a state of agitation and confusion when the patient was admitted for meningitis. High sequelae ratings on reexamination were associated with an affected consciousness at the acute stage of the disease and with high numbers of WBCs in the CSF at the time of hospitalization.
AB - We interviewed and neurologically reexamined 94 patients who had previous pneumococcal meningitis. The findings were allocated into groups with and without a causal relationship to the meningitis. The main sequelae after meningitis were dizziness (23%), tiredness (22%), mild memory deficits (21%), and gait ataxia (18%), whereas other focal neurologic signs were rare. By a rating (0 to 5) of the presence and severity of sequelae after meningitis, 54% of the patients were found to have sequelae. The clinical condition at the time of acute illness was studied in subgroups of patients who had different neurologic sequelae or high sequelae ratings. Gait ataxia was associated with a state of agitation and confusion when the patient was admitted for meningitis. High sequelae ratings on reexamination were associated with an affected consciousness at the acute stage of the disease and with high numbers of WBCs in the CSF at the time of hospitalization.
KW - Adolescent
KW - Adult
KW - Ataxia/diagnosis
KW - Female
KW - Gait
KW - Humans
KW - Male
KW - Meningitis, Pneumococcal/complications
KW - Middle Aged
KW - Nervous System Diseases/diagnosis
KW - Prognosis
KW - Vertigo/etiology
U2 - 10.1001/archneur.1984.04050210043012
DO - 10.1001/archneur.1984.04050210043012
M3 - Journal article
C2 - 6477211
VL - 41
SP - 1045
EP - 1049
JO - JAMA Neurology
JF - JAMA Neurology
SN - 2168-6149
IS - 10
ER -
ID: 279594826