caa a22 4500 445355743 CHVBK 20180317142859.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10072-011-0727-9 doi (NATIONALLICENCE)springer-10.1007/s10072-011-0727-9 A case of rheumatoid meningitis: pathologic and magnetic resonance imaging findings [Elektronische Daten] [Hye Kim, Jong Park, Hwa Oh, Hyun Han, Dong-Ick Shin, Man Kim] Central nervous system (CNS) involvement is extremely rare in patients with rheumatoid arthritis (RA). Additionally, most patients with CNS involvement have chronic and severe RA. We present a report of a 66-year-old man who was diagnosed with rheumatoid meningitis and CNS vasculitis without a history of RA. His initial symptom was seizure. Brain magnetic resonance imaging showed leptomeningeal enhancement.CSF analysis revealed slight increase in the number of white blood cells. An examination of viral markers and culture studies for infectious etiology were unremarkable. However, the rheumatoid factor was positive and the levels of anti-cyclic citrullinated peptide antibody were very high. The patient was diagnosed with rheumatoid meningitis and received steroid therapy. However, he developed CNS vasculitis. We suggested that the possibility of rheumatoid meningitis should be considered during the differential diagnosis stage in patients with uncontrolled meningitis, even though RA does not typically show CNS involvement. Springer-Verlag, 2011 Seizure nationallicence Rheumatoid meningitis nationallicence CNS vasculitis nationallicence Kim Hye Department of Neurology, Myongji Hospital, Kwandong University College of Medicine, 697-24 Hawjeong-dong, Deukyang-gu, Goyang, Gyeonggi-do, Korea aut Park Jong Department of Neurology, Myongji Hospital, Kwandong University College of Medicine, 697-24 Hawjeong-dong, Deukyang-gu, Goyang, Gyeonggi-do, Korea aut Oh Hwa Department of Pathology, College of Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea aut Han Hyun Department of Neurology, Myongji Hospital, Kwandong University College of Medicine, 697-24 Hawjeong-dong, Deukyang-gu, Goyang, Gyeonggi-do, Korea aut Shin Dong-Ick Department of Neurology, Chungbuk National, University Hospital, Cheongju, Korea aut Kim Man Department of Neurology, Seoul National University Hospital, Seoul, Korea aut Neurological Sciences Springer Milan 32/6(2011-12-01), 1191-1194 1590-1874 32:6<1191 2011 32 10072 https://doi.org/10.1007/s10072-011-0727-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0727-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kim Hye Department of Neurology, Myongji Hospital, Kwandong University College of Medicine, 697-24 Hawjeong-dong, Deukyang-gu, Goyang, Gyeonggi-do, Korea aut NATIONALLICENCE 700 1- Park Jong Department of Neurology, Myongji Hospital, Kwandong University College of Medicine, 697-24 Hawjeong-dong, Deukyang-gu, Goyang, Gyeonggi-do, Korea aut NATIONALLICENCE 700 1- Oh Hwa Department of Pathology, College of Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea aut NATIONALLICENCE 700 1- Han Hyun Department of Neurology, Myongji Hospital, Kwandong University College of Medicine, 697-24 Hawjeong-dong, Deukyang-gu, Goyang, Gyeonggi-do, Korea aut NATIONALLICENCE 700 1- Shin Dong-Ick Department of Neurology, Chungbuk National, University Hospital, Cheongju, Korea aut NATIONALLICENCE 700 1- Kim Man Department of Neurology, Seoul National University Hospital, Seoul, Korea aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32/6(2011-12-01), 1191-1194 1590-1874 32:6<1191 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer