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Chronic meningitis with marked unilateral tentorial pachymeningitis
Surgical Neurology
|May 1, 1985
Summary
Two patients presented with chronic meningitis and granulomatous thickening of the cerebellar tentorium. Despite clinical and necropsy findings, the exact cause of this rare condition remains unidentified.
Area of Science:
- Neurology
- Pathology
Background:
- Presents two cases of chronic meningitis.
- Focuses on granulomatous thickening of the cerebellar tentorium.
Observation:
- Clinical features included chronic headache, increased intracranial pressure, cranial nerve involvement, lymphocytosis, and elevated cerebrospinal fluid protein.
- Computed tomography scans revealed unilateral cerebellar tentorium thickening with contrast enhancement.
Findings:
- Necropsy confirmed marked granulomatous thickening of the cerebellar tentorium in both patients.
- Etiology was suspected to be noninfectious but could not be definitively determined.
Implications:
- Highlights a rare presentation of chronic meningitis.
- Underscores the diagnostic challenges in identifying the etiology of tentorial granulomatous thickening.
- Suggests the need for further research into noninfectious causes.