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Recurrent Aseptic Meningitis Secondary to Intracranial Epidermoids

Published online by Cambridge University Press:  18 September 2015

Werner J. Becker ,
Gordon V. Watters ,
Jean-Pierre de Chadarevian  and
Michel Vanasse
Werner J. Becker*
Affiliation:
The Montréal Childrens’ Hospital, Montréal. Hôpital Sainte-Justine, Montréal
Gordon V. Watters
Affiliation:
The Montréal Childrens’ Hospital, Montréal. Hôpital Sainte-Justine, Montréal
Jean-Pierre de Chadarevian
Affiliation:
The Montréal Childrens’ Hospital, Montréal. Hôpital Sainte-Justine, Montréal
Michel Vanasse
Affiliation:
The Montréal Childrens’ Hospital, Montréal. Hôpital Sainte-Justine, Montréal
*
Calgary General Hospital, Room M3–016, 841 Centre Avenue East, Calgary, Alberta T2E 0A1
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Abstract:

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Two patients with recurrent aseptic meningitis are reported. Intracranial epidermoid tumors were eventually found in both patients. CSF changes in our first case with an epidermoid tumor were similar to those reported in Mollaret’s meningitis, with an initial polymorphonuclear pleocytosis early in each attack, followed by a lymphocytic predominance several days later. Large cells which proved to be macrophages were also seen in the CSF of this patient. Both patients had meningitis attacks for several years before the underlying epidermoid tumor was found. Mollaret’s meningitis remains a diagnosis of exclusion. These patients should remain tumor suspects for many years and deserve careful and repeated investigation.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 11 , Issue 3 , August 1984 , pp. 387 - 389
Copyright
Copyright © Canadian Neurological Sciences Federation 1984

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