Author/Authors :
Nesbitt، Cassie نويسنده Department of Neurology, Barwon Health/Geelong University
Hospital, Geelong, Australia , , Wilshire، Luke نويسنده Department of Neurology, Barwon Health/Geelong University
Hospital, Geelong, Australia , , Quan، Doreen نويسنده Department of Radiology, Barwon Health/Geelong University
Hospital, Geelong, Australia , , Shaw، Cameron نويسنده Department of Neuroscience, Barwon Health/Geelong
University Hospital, Geelong, Australia , , Batchelor، Peter نويسنده Department of Neuroscience, Barwon Health/Geelong
University Hospital, Geelong, Australia ,
Abstract :
Leptomeningeal rheumatoid nodules are a rare condition. This case demonstrates the unique presentation and diagnostic workup for the distinctive condition and highlights the difficulties surrounding therapeutics. A 67 year old woman presented with recurrent transient ischaemic attack-like episodes over a 2 year period. Nodular enhancing leptomeningeal changes were detected on MRI and consistent with meningeal rheumatoid nodules on biopsy. The patient’s nodular disease continued to progress and regress clinically and radiologically irrespective of disease modifying agents and peripheral and serological rheumatoid arthritis control. This patient’s unique presentation and diagnostic work-up is discussed alongside the dilemma of therapeutic management of meningeal rheumatoid nodules
