Chemical meningitis caused by spontaneous rupture of spinal teratoma
Chemical meningitis is a medical condition characterised by sterile meningitis that usually develops in certain patients after neurosurgical procedures. Its acute clinical course and standard laboratory findings are indistinguishable from those of bacterial meningitis. We hereby describe a case who...
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| Veröffentlicht in: | Journal of the Association of Physicians of India 2012-03, Vol.60, p.54-56 |
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| container_title | Journal of the Association of Physicians of India |
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| creator | Garg, Arun Arora, Vijay Vaishy, Sandeep Sinha, L K |
| description | Chemical meningitis is a medical condition characterised by sterile meningitis that usually develops in certain patients after neurosurgical procedures. Its acute clinical course and standard laboratory findings are indistinguishable from those of bacterial meningitis. We hereby describe a case who presented with clinico-investigatory profile suggestive of acute bacterial meningitis. Patient showed good response to standard antibiotics and steroids, but deteriorated on stopping steroids. MRI brain showed hyperintense signal in the frontal horns of lateral ventricle on T1 weighted images suggesting presence of fat. MRI spine confirmed presence of ruptured teratoma in lumbo-sacral region which had caused chemical meningitis. Patient responded well to steroid therapy. Tumour histopathology confirmed the diagnosis of mature cystic teratoma. |
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Its acute clinical course and standard laboratory findings are indistinguishable from those of bacterial meningitis. We hereby describe a case who presented with clinico-investigatory profile suggestive of acute bacterial meningitis. Patient showed good response to standard antibiotics and steroids, but deteriorated on stopping steroids. MRI brain showed hyperintense signal in the frontal horns of lateral ventricle on T1 weighted images suggesting presence of fat. MRI spine confirmed presence of ruptured teratoma in lumbo-sacral region which had caused chemical meningitis. Patient responded well to steroid therapy. Tumour histopathology confirmed the diagnosis of mature cystic teratoma.</description><identifier>ISSN: 0004-5772</identifier><identifier>PMID: 22799119</identifier><language>eng</language><publisher>India</publisher><subject>Adult ; Anti-Bacterial Agents - therapeutic use ; Humans ; Lumbar Vertebrae - pathology ; Magnetic Resonance Imaging ; Male ; Meningitis - etiology ; Rupture, Spontaneous ; Spinal Neoplasms - complications ; Spinal Neoplasms - pathology ; Spinal Neoplasms - surgery ; Surgical Procedures, Operative ; Teratoma - complications ; Teratoma - pathology ; Teratoma - surgery ; Treatment Outcome</subject><ispartof>Journal of the Association of Physicians of India, 2012-03, Vol.60, p.54-56</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22799119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garg, Arun</creatorcontrib><creatorcontrib>Arora, Vijay</creatorcontrib><creatorcontrib>Vaishy, Sandeep</creatorcontrib><creatorcontrib>Sinha, L K</creatorcontrib><title>Chemical meningitis caused by spontaneous rupture of spinal teratoma</title><title>Journal of the Association of Physicians of India</title><addtitle>J Assoc Physicians India</addtitle><description>Chemical meningitis is a medical condition characterised by sterile meningitis that usually develops in certain patients after neurosurgical procedures. Its acute clinical course and standard laboratory findings are indistinguishable from those of bacterial meningitis. We hereby describe a case who presented with clinico-investigatory profile suggestive of acute bacterial meningitis. Patient showed good response to standard antibiotics and steroids, but deteriorated on stopping steroids. MRI brain showed hyperintense signal in the frontal horns of lateral ventricle on T1 weighted images suggesting presence of fat. MRI spine confirmed presence of ruptured teratoma in lumbo-sacral region which had caused chemical meningitis. Patient responded well to steroid therapy. Tumour histopathology confirmed the diagnosis of mature cystic teratoma.</description><subject>Adult</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Humans</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Meningitis - etiology</subject><subject>Rupture, Spontaneous</subject><subject>Spinal Neoplasms - complications</subject><subject>Spinal Neoplasms - pathology</subject><subject>Spinal Neoplasms - surgery</subject><subject>Surgical Procedures, Operative</subject><subject>Teratoma - complications</subject><subject>Teratoma - pathology</subject><subject>Teratoma - surgery</subject><subject>Treatment Outcome</subject><issn>0004-5772</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j01LxDAYhHNQ3HX1L0iPXgr5aPNxlPoJC170XN4kbzXStLVJDvvvXdj1NDA8M8xckC2ltKlbpfiGXKf0Q6kwQvArsuFcGcOY2ZLH7htjcDBWEacwfYUcUuWgJPSVPVRpmacME84lVWtZclmxmoejHaZjJOMKeY5wQy4HGBPennVHPp-fPrrXev_-8tY97OuFcZlr2zirG-u9QK2kV9RBqzwobMzQDBwFSNaCaY111mgLUlChtWsHAdxxPYgduT_1Luv8WzDlPobkcBxPC3tGudRSMGWO6N0ZLTai75c1RFgP_f9z8QelplTq</recordid><startdate>201203</startdate><enddate>201203</enddate><creator>Garg, Arun</creator><creator>Arora, Vijay</creator><creator>Vaishy, Sandeep</creator><creator>Sinha, L K</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201203</creationdate><title>Chemical meningitis caused by spontaneous rupture of spinal teratoma</title><author>Garg, Arun ; Arora, Vijay ; Vaishy, Sandeep ; Sinha, L K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p126t-b4cb84bdd3e876d70ca57da7e49f4f2e3a615a959bcb98ba630388c5f3a2c28f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Humans</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Meningitis - etiology</topic><topic>Rupture, Spontaneous</topic><topic>Spinal Neoplasms - complications</topic><topic>Spinal Neoplasms - pathology</topic><topic>Spinal Neoplasms - surgery</topic><topic>Surgical Procedures, Operative</topic><topic>Teratoma - complications</topic><topic>Teratoma - pathology</topic><topic>Teratoma - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garg, Arun</creatorcontrib><creatorcontrib>Arora, Vijay</creatorcontrib><creatorcontrib>Vaishy, Sandeep</creatorcontrib><creatorcontrib>Sinha, L K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Association of Physicians of India</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garg, Arun</au><au>Arora, Vijay</au><au>Vaishy, Sandeep</au><au>Sinha, L K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chemical meningitis caused by spontaneous rupture of spinal teratoma</atitle><jtitle>Journal of the Association of Physicians of India</jtitle><addtitle>J Assoc Physicians India</addtitle><date>2012-03</date><risdate>2012</risdate><volume>60</volume><spage>54</spage><epage>56</epage><pages>54-56</pages><issn>0004-5772</issn><abstract>Chemical meningitis is a medical condition characterised by sterile meningitis that usually develops in certain patients after neurosurgical procedures. Its acute clinical course and standard laboratory findings are indistinguishable from those of bacterial meningitis. We hereby describe a case who presented with clinico-investigatory profile suggestive of acute bacterial meningitis. Patient showed good response to standard antibiotics and steroids, but deteriorated on stopping steroids. MRI brain showed hyperintense signal in the frontal horns of lateral ventricle on T1 weighted images suggesting presence of fat. MRI spine confirmed presence of ruptured teratoma in lumbo-sacral region which had caused chemical meningitis. Patient responded well to steroid therapy. Tumour histopathology confirmed the diagnosis of mature cystic teratoma.</abstract><cop>India</cop><pmid>22799119</pmid><tpages>3</tpages></addata></record> |
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| ispartof | Journal of the Association of Physicians of India, 2012-03, Vol.60, p.54-56 |
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| language | eng |
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| source | Electronic Journals Library; MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Anti-Bacterial Agents - therapeutic use Humans Lumbar Vertebrae - pathology Magnetic Resonance Imaging Male Meningitis - etiology Rupture, Spontaneous Spinal Neoplasms - complications Spinal Neoplasms - pathology Spinal Neoplasms - surgery Surgical Procedures, Operative Teratoma - complications Teratoma - pathology Teratoma - surgery Treatment Outcome |
| title | Chemical meningitis caused by spontaneous rupture of spinal teratoma |
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