PT  - JOURNAL ARTICLE
AU  - H K Rosenberg
AU  - R S Levine
AU  - K Stoltz
AU  - D R Smith
TI  - Bacterial meningitis in infants: sonographic features.
DP  - 1983 May 01
TA  - American Journal of Neuroradiology
PG  - 822--825
VI  - 4
IP  - 3
4099  - http://www.ajnr.org/content/4/3/822.short
4100  - http://www.ajnr.org/content/4/3/822.full
SO  - Am. J. Neuroradiol.1983 May 01; 4
AB  - Twenty-three infants with clinically proven bacterial meningitis were studied with real-time cranial sonography at the time of initial diagnosis and in several cases subsequently. A spectrum of sonographic abnormalities was observed, including bright convolutional markings, focal or diffuse increased and/or decreased parenchymal echoes, ventricular debris, and hydrocephalus. In three infants with virulent Gram-negative meningitis serial sonographic studies showed the development of encephalomalacia. Because clinical neurologic assessment of the infant is limited, a diagnostic imaging method that is sensitive to early structural change and suitable for serial observations is advantageous. Transfontanelle real-time sonographic examination of the brain was found to be a reliable, informative, and relatively inexpensive method of documenting and monitoring complicated bacterial meningitis.