Predisposing conditions for bacterial meningitis in children: what radiologists need to know

xlomafota13 shared this article with you from Inoreader Predisposing conditions for bacterial meningitis in children: what radiologists need to know Via leak of cerebrospinal fluid Jpn J Radiol. 2021 Aug 25. doi: 10.1007/s11604-021-01191-9. Online ahead of print. ABSTRACT A variety of underlying diseases can predispose infants and children to bacterial meningitis (BM). For the diagnosis, treatment, and prevention of its recurrence, radiologists should be familiar with its predisposing conditions so that they can suggest the appropriate imaging approach. Predisposing conditions of BM can be broadly classified into two categories: infection spread from the adjacent tissue to the cerebrospinal fluid (CSF) space and immunodeficiency. Diseases in the former category are further divided according to regardless of whether there is a structural defect between the CSF space and the adjacent tissue. When a structural defect is suspected in a patient with BM, computed tomography (CT) of the head and magnetic resonance (MR) imaging are first-line imaging examinations. Radionuclide cisternography should be implemented as a second-li ne step to identify the CSF leak site. In patients with suspected parameningeal infection without any structural defect, such as sinusitis or otitis media/mastoiditis, CT or MR images can identify not only the disease itself but also the associated intracranial complications. The purpose of this article is to discuss the diagnostic approach and imaging findings associated with the variety of conditions predisposing patients to recurrent BM, focusing on the role of radiology in their management. PMID:34432172 | DOI:10.1007/s11604-021-01191-9 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.