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J Korean Neurol Assoc. 2012;30(4):301-304.
- Rheumatoid Meningitis: Neurologic Manifestation and Pathologic
Findings
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Ki Jeong Lee
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Department of Neurology, Yonsei University College of Medicine, Seoul, Korea
Department of Pathology
a
, Yonsei University College of Medicine, Seoul, Korea
- 류마티스수막염: 신경계 증상과 병리 소견
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이기정, 임수환 김도환
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김승우 이문규 조양제 이병인 허 경 김세훈
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연세대학교 의과대학 신경과학교실, 연세대학교 의과대학 병리학교실
a
- Abstract
- Rheumatoid meningitis, one of the most severe complications of rheumatoid arthritis, presents various symptoms such
as headache, confusion, loss of consciousness, seizure, fever, and focal neurological deficits. A 63-year-old man with the
history of rheumatoid arthritis presented with intermittent left leg weakness, seizures and later developed fever and
confusion. Brain MRI demonstrated leptomeningeal enhancement in right fronto-parietal area. Brain biopsy revealed
multifocal suppurative inflammation. After aggressive immunosuppressive treatment, he had gradually recovered and
the lesion was reduced on a follow-up MRI. Key Words: Meningitis, Rheumatoid arthritis
Keywords :
- 초록
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