Abstract | INTRODUCTION: CASE REPORT: A 36-year-old male who had been submitted to surgery twice because of an epidermoid cyst in the cerebellopontine angle presented a month old history of clinical features consisting in high temperature, headache, a stiff neck and ataxia. After computerized tomography (CT) scans and a spinal tap had been performed because of the suspicion of meningitis, empirical antibiotic therapy was administered but no improvement was observed. Thus, the usual studies employed to diagnose aseptic meningitis were carried out. Magnetic resonance imaging (MRI) was performed and showed lesions that suggested tumorous recurrence and perilesional meningeal hyperenhancement. Corticoid therapy quickly lessened the symptoms and the patient was asymptomatic when discharged. A week later he returned with headaches and disorders affecting behaviour and memory. A CT scan was performed and revealed the presence of tetraventricular hydrocephalus, which required the introduction of ventriculoperitoneal drainage. Spinal MRI carried out two weeks later revealed perimedullar foci of hyperenhancement. CONCLUSIONS:
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Authors | A Pampliega-Pérez, C Martín-Estefanía, M Caballé-Tura, J Portilla-Sogorb, M Alvarez-Saúco |
Journal | Revista de neurologia
(Rev Neurol)
2003 Aug 1-15
Vol. 37
Issue 3
Pg. 221-4
ISSN: 0210-0010 [Print] Spain |
Vernacular Title | Meningitis aséptica causada por la ruptura de quiste epidermoide. |
PMID | 12938053
(Publication Type: Case Reports, English Abstract, Journal Article)
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Topics |
- Adult
- Epidermal Cyst
(complications, pathology)
- Humans
- Hydrocephalus
(pathology)
- Male
- Meningitis, Aseptic
(diagnosis, etiology, pathology)
- Spinal Cord
(pathology)
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