| Rheumatoid meningitis mimicking progressive supranuclear palsy. | |
| | |
MedLine Citation:
|
PMID: 21532380 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
INTRODUCTION: Rheumatoid meningitis is an uncommon manifestation of longstanding rheumatoid arthritis and few cases have been described. The clinical presentation is extremely variable as reported in medical literature. CASE REPORT: We report a 71-year-old woman with 15 years of seropositive rheumatoid arthritis who developed neurological complications: cognitive deterioration; hypomimia; limitation on vertical gaze; and axial stiffness, resembling progressive supranuclear palsy and seizures. Brain magnetic resonance imaging showed a diffuse dural plaque on both frontal and temporal lobes exhibiting homogeneous gadolinium enhancement. There was diffuse leptomeningeal enhancement and hyperintense white matter lesions. The final diagnosis made by image-guided biopsy showed rheumatoid pachymeningitis. After the definitive diagnosis, high doses of corticosteroids and immunosuppressive treatment were started. CONCLUSIONS: We emphasize the diagnostic importance of the biopsy in cases of chronic pachymeningitis and stress that diverse entities can cause progressive supranuclear palsy-like phenotypes. |
| | |
Authors:
|
Maria Jose Aguilar-Amat; Maria Jose Abenza-Abildúa; Francisco Vivancos; Francisco Javier Rodríguez de Rivera; Carmen Morales-Bastos; Maria Luisa Gandía-Gonzalez; Alvaro Pérez-Zamarrón; Javier Arpa |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The neurologist Volume: 17 ISSN: 1074-7931 ISO Abbreviation: Neurologist Publication Date: 2011 May |
Date Detail:
|
Created Date: 2011-05-02 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9503763 Medline TA: Neurologist Country: United States |
Other Details:
|
Languages: eng Pagination: 136-40 Citation Subset: IM |
Affiliation:
|
Departments of *Neurology †Neuropathology ‡Neurosurgery, La Paz University Hospital, Madrid, Spain. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Frontal lobe seizures.
Next Document: A case of hashimoto encephalopathy: clinical manifestation, imaging, pathology, treatment, and progn...