Charles Sponsel

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Skull fractures, particularly those affecting the base of the brain and extending to the sinuses and petrous pyramids, are the most common cause of recurrent bacterial meningitis. Detection of sinus fracture can be difficult in children. Thin-section computed tomographic scanning aids the diagnosis in patients with a remote history of head injury. Other(More)
Preview Recurrent bacterial meningitis can be caused by acquired or congenital gross anatomic defects, foci of infection, or disorders in immune mechanisms. The diagnosis of occult sinus fracture can be a challenge and, as in the patient described here, requires a high index of suspicion when a child has a remote history of head injury and repeated episodes(More)
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