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Mollaret's meningitis: a case report and literature review
1Department of Medicine, National Defense Medical Center, Taipei, Taiwan, R.O.C.
Abstract:
Mollaret's meningitis is a rare syndrome with characteristic features. We present a case with interesting clinical course and cerebrospinal fluid studies. The patient was admitted to Veterans General Hospital-Taipei 6 times between May, 1984 and May, 1991 because of recurrent meningitis (Mollaret's meningitis). No causative etiology was identified although a series of investigations were performed, including studies of the blood and CSF, roentgenogram and nuclear scintinographs. To date, there has been no standard therapeutic modality for this disease. We use aspirin for his symptomatic control with satisfactory result though colchicine has been reported as being effective also.
Insights
Mollaret's meningitis, a rare condition, was observed in a patient with recurrent episodes over seven years. Investigations failed to identify a cause, but aspirin provided satisfactory symptomatic relief.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Mollaret's meningitis is a rare, recurrent meningitis syndrome.
- Etiology often remains unidentified despite extensive investigation.
Observation:
- A patient experienced six admissions for recurrent Mollaret's meningitis between 1984 and 1991.
- Comprehensive studies, including blood, CSF, roentgenograms, and nuclear scintigraphy, were performed.
Findings:
- No causative etiology for the recurrent meningitis was identified.
- Aspirin was used for symptomatic control with satisfactory results.
Implications:
- This case highlights the diagnostic challenges in Mollaret's meningitis.
- It suggests aspirin as a viable option for symptomatic management in the absence of a definitive etiological diagnosis.