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CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 1  |  Page : 173--175

Dissecting Aneurysm of the Basilar Artery—A Rare Complication of Bacterial Meningitis in a Postoperative Case of CSF Rhinorrhea

Abhinith Shashidhar1, Rose Dawn Bharath2, Parthasarathy Satishchandra3, Malla Bhaskara Rao1, Arivazhagan Arimappamagan1 
1 Department of Neurosurgery, Neuroimaging and Interventional, NIMHANS, Bengaluru, Karnataka, India
2 Department of Radiology, NIMHANS, Bengaluru, Karnataka, India
3 Department of Neurology, NIMHANS, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Arivazhagan Arimappamagan
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Hosur Road, Bengaluru - 560 029, Karnataka
India

Basilar artery dissections are rare events which present with subarachnoid hemorrhage (SAH), brain ischemia, and usually have a fatal outcome. Few case reports of mycotic dissections are published in literature. We report a case of a young male who underwent surgical treatment for post-traumatic CSF rhinorrhea. He presented 3 years later with signs of bacterial meningitis. During medical management with antibiotic therapy, he developed basilar artery aneurysm in a span of 2 days, had subarachnoid hemorrhage and deteriorated. CSF culture grew alpha hemolytic streptococci. Despite medical management, he developed brain stem infarcts and succumbed. This report highlights a rare fatal complication of mycotic dissecting aneurysm of the basilar artery following meningitis, which developed acutely in hospital, while on treatment. Antibiotic therapy had not altered the course of disease. It is advisable to investigate for presence of ruptured mycotic aneurysms or dissection in cases of bacterial meningitis leading to SAH.


How to cite this article:
Shashidhar A, Bharath RD, Satishchandra P, Rao MB, Arimappamagan A. Dissecting Aneurysm of the Basilar Artery—A Rare Complication of Bacterial Meningitis in a Postoperative Case of CSF Rhinorrhea.Neurol India 2020;68:173-175


How to cite this URL:
Shashidhar A, Bharath RD, Satishchandra P, Rao MB, Arimappamagan A. Dissecting Aneurysm of the Basilar Artery—A Rare Complication of Bacterial Meningitis in a Postoperative Case of CSF Rhinorrhea. Neurol India [serial online] 2020 [cited 2020 Jun 5 ];68:173-175
Available from: http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2020;volume=68;issue=1;spage=173;epage=175;aulast=Shashidhar;type=0