Presentation
Fever, altered level of consciousness, convulsions, undertreatment of bacterial meningitis.
Patient Data
Diffuse leptomeningeal thickening and enhancement in the frontotemporal region, on T1W post-contrast and FLAIR post-contrast.
Widening of the subarachnoid spaces in the frontotemporal region, with enhanced internal septations.
Dural thickening and enhancement in the frontal region.
No subdural collection/empyema, no cerebral abscess.
Case Discussion
This baby was treated for bacterial meningitis after the lab results and developed generalized tonic-clonic convulsions, and persistent fever, MRI study shows diffuse leptomeningeal thickening and enhancement with enhanced internal septations in subarachnoid spaces related to complicated meningitis.
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