Rheumatoid meningitis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Rheumatoid meningitis. This usually develops in long-standing rheumatoid arthritis (RA). Fully referenced neurology checklist.

Pathology

  • This usually develops in long-standing rheumatoid arthritis (RA)
  • It may be the presenting feature of RA
  • It may be triggered by Adalimumab

Features of rheumatoid meningitis

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Features of rheumatoid pachymeningitis

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Autoimmune tests

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Magnetic resonance imaging (MRI) brain: features

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Cerebrospinal fluid (CSF) analysis

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Brain biopsy: features

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Treatment

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Treatment of rheumatoid pachymeninigitis

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References

  1. Roy B, Uphoff DF, Silverman IE. Rheumatoid meningitis presenting with multiple strokelike episodes. JAMA Neurol. 2015; 72:1073-1076.
  2. Nihat A, Chinthapalli K, Bridges L, Johns P, Sofat N, Moynihan B. Rheumatoid meningitis. Pract Neurol 2016; 16:312-314.
  3. Stretz C, Song X, Killory BD, Ollenschleger MD, Nouh AM. Rheumatoid meningitis: diagnostic and therapeutic observations. Conn Med 2016; 80:163-166.
  4. Magaki S, Chang E, Hammond RR, et al. Two cases of rheumatoid meningitis. Neuropathology 2016; 36:93-102.
  5. Finkelshtein V, Lampl Y, Lorberboym M, et al. Self-limited rheumatoid meningitis as a presenting symptom of rheumatoid arthritis. Isr Med Assoc J 2018; 20:262-264.
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