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Case report: an acute infarct in the left caudate and lentiform nuclei secondary to bacterial meningitis

Journal of Neurology & Stroke
Ronald Harrison,1 Richard Giovane2

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Bacterial meningitis has an annual rate of 1.2 million cases per year and if not diagnosed quickly, it can result in long term sequala and in some cases, death. In some instances, patients can develop a hemiparesis secondary to infarction and cranial nerve palsy. Although most cases are transient, it is important for clinicians to recognize potential sequalae while treating patients with meningitis. We report a case of an 18-year-old female who presented to our service after a motor vehicle accident. Upon further investigation it was found that she was suffering from bacterial meningitis. The patient subsequently developed a left caudate infarct which caused hemiparesis of her right side.


Bacterial meningitis, hemiparesis, sequalae, Neutrophil count, lentiform nuclei