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September 1981

Partial Brown-Séquard's Syndrome and Meningococcal Meningitis

Author Affiliations

Department of Neurology
Department of Medicine Ciudad Sanitaria 'Principes España' Hospitalet de Llobregat Barcelona, Catalonia Spain

Arch Neurol. 1981;38(9):602. doi:10.1001/archneur.1981.00510090096020

To the Editor.—  Spinal cord lesions are not mentioned in articles that review the neurologic complications of patients with acute bacterial meningitis.1.2 We have found only one case of meningococcal meningitis complicated by an involvement of the conus medullaris that was correctly treated.3 We studied a patient who displayed partial Brown-Séquard's syndrome soon after the onset of meningococcal meningitis.

Report of a Case.—  A 15-year-old girl suffered an attack of headache, fever, and vomiting, and in several hours her left leg became weak. On examination, she was febrile and lethargic, but oriented. The neck was rigid. She was unable to raise her left leg from the bed. The left plantar reflex was extensor. There was a loss of pain and temperature sense on the right side below T-10, but propiroceptive sensation was normal in both legs. The CSF had 2,330 WBCs per milliliter (98% neutrophils), a glucose level

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