Localization of cerebral vasculopathy following bacterial meningitis: What can we learn about postinfective ischemic sequelae?

IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Brain Circulation Pub Date : 2023-10-01 DOI:10.4103/bc.bc_97_22
V. Kumar, V. Kumar
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Abstract

Cerebrovascular complications of bacterial meningitis account for a high incidence of mortality and postinfective neurologic sequelae. Cerebrovascular complications occurring during acute bacterial meningitis are evident from angiographic evidence demonstrating arterial occlusion and vessel wall narrowing, histopathological studies demonstrating vessel wall changes, and radiographic studies demonstrating the presence of brain infarcts. Cerebrovascular disease during bacterial meningitis has been demonstrated in of Haemophilus influenzae, Streptococcus pneumonia, Group B Streptococcus, and Mycobacterium tuberculosis models of meningitis. Despite models of bacterial meningitis showing variable patterns of cerebral vasculopathy as a contributor to different aspects of postinfectious neurological decline, very few studies describe the predominant localization of cerebral vasculopathy with different meningitis causing pathogens. Thus, this review attempts to analyze the different locations of cerebral vasculopathic changes occuring in response to different microbial pathogens and provide a pathophysiologic basis for such an observation.
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细菌性脑膜炎后脑血管病的定位:我们能从感染后缺血性后遗症中学到什么?
细菌性脑膜炎的脑血管并发症是死亡率和感染后神经系统后遗症的高发因素。急性细菌性脑膜炎期间发生的脑血管并发症可通过血管造影显示动脉闭塞和血管壁狭窄、组织病理学研究显示血管壁变化以及放射学研究显示脑梗塞的存在而得到证实。细菌性脑膜炎期间的脑血管疾病已在流感嗜血杆菌、肺炎链球菌、B 组链球菌和结核分枝杆菌脑膜炎模型中得到证实。尽管细菌性脑膜炎模型显示脑血管病是导致感染后神经功能衰退不同方面的一个因素,但很少有研究描述不同脑膜炎病原体引起的脑血管病的主要定位。因此,本综述试图分析不同微生物病原体引起的脑血管病变的不同部位,并为这种观察提供病理生理学依据。
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来源期刊
Brain Circulation
Brain Circulation Multiple-
自引率
5.30%
发文量
31
审稿时长
16 weeks
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