PMID: 9535302Apr 16, 1998Paper

Mollaret's recurrent aseptic meningitis and cerebral epidermoid cyst

Pediatric Neurology
F J AristeguiC C Hermosa

Abstract

A patient who initially presented with clinical and laboratory signs of bacterial meningitis developed four more similar episodes within a 6-month period. Immune system studies were unremarkable. A tentative diagnosis of Mollaret's meningitis was established after the third episode. Cranial computed tomography performed during the acute phase of the initial episode was normal, but, after the fourth scan, when the patient was asymptomatic, magnetic resonance imaging revealed a cyst in the anterior aspect of the medulla. Partial excision allowed for pathologic analysis, which established the diagnosis of epidermoid cyst. The differential diagnosis of recurrent aseptic meningitis should include Mollaret's meningitis and dermoid-epidermoid cysts. Neuroimaging studies, preferably magnetic resonance imaging, should be performed at a time when patients are asymptomatic.

Citations

Sep 27, 2000·American Journal of Ophthalmology·P MalocaI Schipper
Jul 10, 2003·Pediatric Neurology·Young Ok KimYoung Jong Woo
Jan 16, 2008·The Neurologist·Jamal MikdashiAllan Krumholz
May 21, 2014·Pediatric Neurology·Lucy L MpayoLi Yang
May 30, 2001·Brain & Development·M NakamuraT Masuzawa
Nov 10, 2007·Neurosurgery Clinics of North America·Mandy BinningLiliana Goumnerova
Nov 20, 2009·The International Journal of Neuroscience·Joseph Prandota
Dec 8, 2006·Acta neurochirurgica·F LiF Qu
Feb 29, 2000·The Pediatric Infectious Disease Journal·W T Walsh, L Payton

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