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Journal of
Child Neurology
J Child Neurol.2006
Jul,21(7):591-5
Long Survival Following Bacterial
Meningitis-Associated Brain Destruction
Susan
Repertinger, MD
Department of
Pathology, Creighton University School of Medicine
William P.
Fitzgibbons, MD
Department of
Family Medicine, Creighton University School of Medicine
Mathew F.
Omojola, MB, FRCPC
Department of
Radiology Creighton University School of Medicine, Omaha, NE
Roger A.
Brumback, MD
Department of
Pathology, Creighton University School of Medicine
This report
describes the brain autopsy of a boy who at age 4
years experienced an episode of fulminant Haemophilus
influenzae type b bacterial meningitis,
resulting in
massive brain destruction and the clinical signs
of brain death. However, medical intervention
maintained him for
an additional
two decades.
Subsequent autopsy revealed a calcified
intracranial spherical structure weighing 750 g
and consisting of a calcified shell containing grumous
material and cystic spaces with no recognizable neural
elements grossly or microscopically.
This case
represents an example of long survival of brain
death with a living body. (J Child
Neurol 2006;21:591—595; DOI 10.2310/7010.2006.00137).
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