Leptomeningitis Convexital

Leptomeningitis Convexital: What is it and what are its symptoms

Leptomeningitis convexitis, also known as convexital leptomeningitis, is a rare inflammatory disease of the brain and spinal cord. It is characterized by inflammation of the soft membranes of the brain and spinal cord, which are located in the area of ​​​​the bulge of the brain, called convexity.

This disease can be caused by a variety of causes, including infectious agents, autoimmune processes, tumors, and traumatic injuries. However, most often convexital leptomeningitis develops as a result of infections such as leptospirosis, herpes viruses and cytomegalovirus.

Symptoms of leptomeningitis convexitis may include headache, nausea and vomiting, gastrointestinal distress, and changes in behavior and mood. Patients may also experience seizures and disturbances of consciousness.

Various techniques are used to diagnose convexital leptomeningitis, including computed tomography (CT) and magnetic resonance imaging (MRI) of the brain and spinal cord, as well as cerebrospinal fluid puncture to analyze the cerebrospinal fluid.

Treatment of convexital leptomeningitis depends on its cause. If the disease is caused by an infectious agent, patients are usually prescribed antibiotics or antiviral drugs. For autoimmune disorders, immunomodulatory drugs can be used. Patients may also be prescribed medications to relieve symptoms such as pain and dizziness.

Overall, leptomeningitis convexitis is a rare disease, but its symptoms can be very serious. If you experience symptoms associated with leptomeningitis convexitis, contact your doctor for diagnosis and treatment.



Leptomeningitis is an inflammation of the soft membrane of the brain and spinal cord in the form of the submucosal layer of the cerebral hemispheres (convexitis) or the medullary surface of the membrane of the spinal cord (epiduritis).

In epidemic bacterial leptomeningitis, the inflammation is predominantly located on the convection, in serous - mainly in the area of ​​the epidura and pleura, but in both cases the infection can also spread along the ascending route (in the meninges and meninges) and downwards - hematogenously (through the blood and lymph) . Purulent epidierititis or only perivasculitis of the vessels of the meninges with small amounts of pus is observed. In pathological practice, cases of purulent and purulent-inflammatory nature are more common. This is due to the fact that a sluggish epidemic process or remissions alternate with periods of rapid growth of the process (sometimes this happens within several days) with the appearance of epicrine tubercles. Leptomeningitis may be preceded by measles, scarlet fever, typhoid fever, pneumonia and influenza, as well as skull injuries. Leptomeningitis associated with head poisoning is often of a mixed nature, characterized by toxicoinfectious signs (in some places, signs of acute meningitis, focal myelitis of the type of scutosis or hemiparesis, and gummintative foci in the brain are detected). The disease is most dangerous in children over one year of age and adults, progresses quickly and steadily, and mainly affects the membranes of the lateral sections of the cerebral hemispheres, less often the posterior and anterior sections. The epidemic form is more severe. If the disease occurs after a sore throat or other immunodeficiency condition, the prognosis is more favorable.