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Focal Motor Seizures as a Manifestation of Rheumatoid Meningitis: From the National Multiple Sclerosis Society Case
Iwalewa G Moninuola1, Mohammad T Shujaat2, Saman Ahmadian3
1Department of Neurology, The Ohio State University, Wexner Medical Center, Columbus.
Abstract:
We describe a 65-year-old man with rheumatoid arthritis presenting with focal motor seizures and progressive right frontoparietal leptomeningeal enhancement. Biopsy was consistent with an inflammatory process. He improved with corticosteroids and rituximab. Our case highlights consideration of CNS involvement of rheumatoid arthritis in patients presenting with new neurologic symptoms.
Insights
Rheumatoid arthritis can affect the central nervous system (CNS), causing neurological symptoms like seizures. Early diagnosis and treatment with immunosuppressants and corticosteroids can improve outcomes in these rare cases.
Area of Science:
- Neurology
- Rheumatology
- Immunology
Background:
- Rheumatoid arthritis (RA) is a chronic autoimmune disease primarily affecting joints.
- Central nervous system (CNS) involvement in RA is uncommon but can lead to severe neurological deficits.
- Leptomeningeal enhancement on neuroimaging suggests inflammation of the brain and spinal cord coverings.
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