Case Notes
History
17 month old male who presented with headaches, vomiting, and fever. He was diagnosed with bacterial meningitis and Rx with antibiotics. Symptoms did not resolve and MR was obtained.Exam
MR T1-w post contrast
Prior Study
MR flair1. There are features of hyperacute leptomeningitis.
2. There is apparently aggressive posterior ethmoid and sphenoid sinusitis. This could be the source on the acute leptomeningitis.
3. There is early hydrocephalus with intraventricular debris in the occiptal horns; this could represent infected intraventricular coagulum.