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Diederik van de Beek, MD, PhD; Robin Patel, MD; Eelco F. M. Wijdicks, MD, PhD

Arch Neurol. 2007;64(9):1350-1351.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 25-year-old woman was admitted with confusion, headache, and vomiting. Physical examination showed disorientation to time and place, difficulty following commands, and neck stiffness. Lumbar puncture revealed a cerebrospinal fluid (CSF) leukocyte count of 0.674/µL and a low CSF–blood glucose ratio. Ceftriaxone sodium administration was started empirically; CSF cultures grew Neisseria meningitidis. The second day, a sudden respiratory arrest occurred. No seizures were noted. Computed tomography revealed dilatation of the entire ventricular system, indicating communicating hydrocephalus (Figure). A right frontal external ventricular drain was placed for 5 days. The patient's confusion resolved after CSF drainage; however, a mild right hemiparesis and a right-sided Horner syndrome were noticed. Magnetic resonance imaging showed a focal zone of signal abnormality in the right dorsal aspect of the medulla oblongata, which had restricted diffusion, suggestive of . . . [Full Text of this Article]

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RELATED LETTERS

Stroke Secondary to Meningococcal Meningitidis: A Potential Link Between Endothelial Dysfunction and Cytokines
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Arch Neurol. 2008;65(2):283-284.
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Stroke Secondary to Meningococcal Meningitidis: A Potential Link Between Endothelial Dysfunction and Cytokines—Reply
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Arch Neurol. 2008;65(2):284.
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Stroke Secondary to Meningococcal Meningitidis: A Potential Link Between Endothelial Dysfunction and Cytokines
Leite de Souza and Seguro
Arch Neurol 2008;65:283-284.
FULL TEXT