EMRAH CAN, Melike KESER, Nevin HATİPOĞLU, Ayper SOMER, Nuran SALMAN, Işık YALÇIN, Ceren YILMAZ

Kafa travması sonrası tekrarlayan menenjit vakası

Tekrarlayan menenjit çocukluk çağında enderdir ve tanısı oldukça zordur. Vakaların çoğu genellikle konjenital defektler sonucu gelişen beyin omurilik sıvısı fistülüne bağlı olmakla birlikte immunolojik defektlere de bağlı olabilir. Doğuştan gelen ya da sonradan olan anatomik bozukluklarda temel sorun sinüs boşluklarının beyin omurilik sıvısı ile olan iştirakidir. İmmunolojik defektler ise oldukça çeşitli olmakla birlikte en sık rastlanan şekli antikor ve kompleman eksiklikleridir. Hiposplenizm de tekrarlayan menenjite uygun bir zemin yaratabilir. Bu yazıda, 10 yaşında bir çocukta, kafa travması sonrası gelişen beyin omurilik sıvısı fistülüne bağlı tekrarlayan menenjit vakası sunulmuştur.

Anahtar Kelimeler:

Tekrarlama, Çocuk, Kranioserebral travma, Menenjit, Haemophilus parainfluenzae

A case of recurrent meningitis after head trauma

Recurrent meningitis is rarely seen childhood and it is very difficult to diagnose. Most cases result from cerebrospinal fistulas due to congenital defects. There are also cases related to immunological defects. The main problem in fistulas is the relation of sinuses and cerebrospinal fluid. Immunological defects are variable but the most common is deficiency of antibody and compleman. Hyposplenism can also cause recurrent meningitis. In this article, we present a case of 10 year old boy who had recurrent meningitis due to a cerebrospinal fistulas after head trauma.

Keywords:

Recurrence, Child, Craniocerebral Trauma, Meningitis, Haemophilus parainfluenzae,

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