Infectious meningitis mimicking recurrent medulloblastoma on magnetic resonance imaging

Maryam Fouladi, Richard Heideman, James W. Langston, Larry E. Kun, Stephen J. Thompson, Amar Gajjar

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

This report and the accompanying review of the literature address the challenges, when using surveillance magnetic resonance (MR) imaging, of establishing the origin of newly detected central nervous system lesions. Routine surveillance MR imaging in a 16-year-old boy, whose medulloblastoma had been successfully treated, demonstrated asymptomatic nodular leptomeningeal enhancement of the brain and spinal cord, which was consistent with recurrent disease. Examination of the cerebrospinal fluid, however, led to the diagnosis of bacterial meningitis. Two weeks after completion of antibiotic therapy, the original MR imaging findings were seen to have resolved. This case illustrates the importance of considering clinical and laboratory data, including results from a complete examination of the cerebrospinal fluid, when interpreting the origin of new lesions revealed by MR imaging.

Original languageEnglish (US)
Pages (from-to)499-502
Number of pages4
JournalJournal of Neurosurgery
Volume91
Issue number3
DOIs
StatePublished - Sep 1999

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Keywords

  • Brain tumor
  • Magnetic resonance imaging
  • Meningitis
  • Metastasis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Fouladi, M., Heideman, R., Langston, J. W., Kun, L. E., Thompson, S. J., & Gajjar, A. (1999). Infectious meningitis mimicking recurrent medulloblastoma on magnetic resonance imaging. Journal of Neurosurgery, 91(3), 499-502. https://doi.org/10.3171/jns.1999.91.3.0499