Rheumatoid meningitis can present MRI findings that mimic chronic subdural haematoma
| Autor: | Kaoru Yagita, Akiyo Shinde, Toshihiko Suenaga |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Prednisolone Central nervous system Chronic subdural haematoma Arthritis Rheumatoid Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Neuroimaging Aphasia Biopsy medicine Humans Meningitis Aged 030203 arthritis & rheumatology medicine.diagnostic_test business.industry General Medicine medicine.disease Magnetic Resonance Imaging medicine.anatomical_structure Hematoma Subdural Chronic Rheumatoid arthritis Female Learning from Errors Radiology medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2019-229642 |
| Popis: | A 65-year-old woman with long-standing rheumatoid arthritis (RA) experienced a recurrent tingling sensation in her left arm followed by aphasia and a tingling sensation in her right arm. A subsequent imaging study showed bilateral subdural fluid accumulation and we initially diagnosed her with a transient ischaemic attack and chronic subdural haematoma (CSDH). The cerebral spinal fluid study revealed an inflammatory response without any indications of infection or malignant tumours. After a meningeal biopsy, we redefined the diagnosis to rheumatoid meningitis (RM), and the patient showed remarkable improvement with prednisolone administration. RM should be considered as an alternative diagnosis when examining central nervous system diseases in patients with RA, as RM presents a highly variable clinical picture with image findings similar to those of CSDH. |
| Databáze: | OpenAIRE |
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