Abstract
complications of meningitis. Occlusion of the supraclinoid portion of the internal carotid artery may be related to its tortuous shape, slow turbulent blood flow, and to its location at the base of the brain, where exudate in meningitis is most prominent. A repeat arteriogram was not considered justified in our patient because of the clinical improvement. His persisting neurologic deficit implies that he sustained a significant cerebral infarct. The striking unilateral CT appearance of H. influenzae meningitis seen in this patient has not been described. The presence of this finding on CT should suggest the likelihood of ipsilateral internal carotid artery occlusion. In this clinical situation, specific treatment of cerebral edema may be indicated. Thanks to D. C. Harwood-Nash and W. J. Logan for their assistance and to Jodi Stoyak for typing the manuscript. REFERENCES
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