التفاصيل البيبلوغرافية
| العنوان: |
Acute bacterial meningitis and stroke |
| المؤلفون: |
Siegel, Jason L. |
| المصدر: |
Neurologia i Neurochirurgia Polska; Vol 53, No 4 (2019); 242-250 |
| بيانات النشر: |
Via Medica |
| سنة النشر: |
2019 |
| المجموعة: |
Via Medica Journals |
| مصطلحات موضوعية: |
bacterial meningitis, neuroinflammation, pneumococcal meningitis, stroke |
| الوصف: |
Introduction. Acute bacterial meningitis remains a common disease, especially in developing countries. Although advances over the last century have improved mortality and morbidity, the neurological adverse effects remain high. Specifically, acute ischaemic stroke is a serious comorbidity that represents both disease severity and poor prognosis. This review presents the clinical connection between meningitis and stroke, and discusses the neuroinflammatory components that have direct ties between these diseases. State of the art. Ischaemic stroke is the direct result of the inflammatory response produced to eradicate infectious pathogens. Bacterial virulence factors and pathogen-associated molecular patterns cause direct damage to the blood-brain barrier and trigger leukocytes to react to the infection. Cytokines are released that cause further destruction of the blood-brain barrier, lead to neuronal death, and recruit the prothrombotic effects of the coagulation cascade through the complement system. Unfortunately, this inflammatory response causes vasculopathy and hypercoagulation of the cerebral blood vessels, leading to cerebral ischaemia. Clinical implications. Pharmacological attempts to mitigate this inflammatory response have produced both positive and negative results. On the one hand, corticosteroids have been shown to improve mortality if given early in patients with bacterial meningitis, particularly pneumococcal meningitis. On the other hand, corticosteroids have been linked to delayed cerebral infarction and other adverse effects. Future directions. New targets for specific inflammatory markers have shown success in rodent models, but have not yet been proven beneficial in humans. Genetic markers are on the horizon, and may serve as individualised targets for diagnosis and therapy. |
| نوع الوثيقة: |
other/unknown material |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| العلاقة: |
https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/PJNNS.a2019.0032Test |
| DOI: |
10.5603/PJNNS.a2019.0032 |
| الإتاحة: |
https://doi.org/10.5603/PJNNS.a2019.0032Test
https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/PJNNS.a2019.0032Test |
| حقوق: |
Completion of the online submission form electronically (the Author's Statement) is tantamount to automatic transfer of the copyright for publishing and distribution of the submitted material (in all current and future forms and fields of exploitation) to the Copyright Owner, i.e. The Polish Society of Neurology, on condition that these materials are accepted for publication. The authors agree not to publish any data or figures presented in their work in any place or in any language without the prior written consent of Via Medica. |
| رقم الانضمام: |
edsbas.FBD4710B |
| قاعدة البيانات: |
BASE |
