PEDIATRICS Vol. 76 No. 6 December 1985, pp. 950-953
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Recurrent Bacterial Meningitis: Coronal Thin-Section Cranial Computed Tomography to Delineate Anatomic Defects

Russell W. Steele MD1, James R. McConnell MD1, Richard F. Jacobs MD1, and John R. Mawk MD1

1 From the Departments of Pediatrics, Radiology, and Neurosurgery, University of Arkansas for Medical Sciences, and Arkansas Children's Hospital, Little Rock

Three patients with histories of recurrent bacterial meningitis were previously examined with skull and sinus radiographs, routine cranial computed tomography, intrathecal radioisotope tracer studies, and immunologic evaluation. None of these studies were diagnostic. Pneumococcal vaccine and prophylactic penicillin therapy were ineffective in preventing recurrent episodes in two cases. Thin-section (2-mm) direct coronal computed cranial tomography demonstrated anatomic defects in all three patients. The use of metrizamide cisternography was not necessary to diagnose the defects. All patients had basiethmoidal encephaloceles which were repaired surgically. Direct coronal computed tomography offers a relatively easy noninvasive method for delineating anatomic abnormalities in patients with recurrent meningitis.

Key Words: meningitis • recurrent meningitis • cranial defects • computed axial tomography scan

Submitted on November 9, 1984
Accepted on January 28, 1985




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