Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 3 Issue 4

Pachymeningitis and Cerebral Abscess Complicating Chronic Osteomyelitis

Fah Bouaré1*, Mehdi Laghmari1, Davis Mpando1, Samuel Opoku Gyamfi2, Mohamed Lmejjati1, Houssine Ghannane1 and Said Ait Benali12

1Department of Neurosurgery, Mohammed VI University Hospital, Cadi Ayyad University, Marrakech, Morocco
2Faculty of Medicine, Medical Research Thesis, Marrakech, Morocco

*Corresponding Author: Fah Bouaré, Department of Neurosurgery, Mohammed VI University Hospital, Cadi Ayyad University, Marrakech, Morocco.

Received: February 28, 2020; Published: March 30, 2020

×

Abstract

Intracranial pachymeningitis (ICPM) is a chronic inflammatory thickening of the dura mater. They are relatively rare and may be secondary or idiopathic. We report an illustrative case with literature review. This is a 56-year-old diabetic insulin patient with a history of neglected head trauma with permanent subacute headaches and vertigo associated with fever and confusion. Upon examination, he had sequelae of right temporal sore with emission of pus, and monoparesis of the left upper limb. A cerebral CT scan made without and contrast material, found a right temporal bone defect, a right fronto-temporo-parietal bone thickening, a right frontal image in cockade and sub-factorial cerebral herniation. Surgical exploration found a cerebral abscess with thickening of bone and dura mater. Pathological examination concluded on chronic osteomyelitis and chronic inflammatory infiltration of the dura mater. The bacteriological examination found a flora made of negative coagulase Staphylococcus, Enterobacter cloacae, beta-hemolytic Streptococcus. This was treated with triple antibiotherapy (ceftriaxone, metronidazole, vancomycin) with a good evolution of brain abscess. The etiologies of pachymeningitis in literature are mainly inflammatory, carcinomas, tuberculosis and trauma. The treatment must be adapted on a case by case basis.

Keywords: Pachymeningitis; Cerebral Abscess; Chronic Osteitis; Head Trauma

×

Citation

Citation: Fah Bouaré. et al. “Pachymeningitis and Cerebral Abscess Complicating Chronic Osteomyelitis".Acta Scientific Neurology 3.4 (2020): 40-43.




Metrics

Acceptance rate32%
Acceptance to publication20-30 days
Impact Factor0.844

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is June 30, 2021.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US