PDF(Pubmed)
Abstract：
Meningitis is a significant health concern globally, with enterovirus (EV) being the most common cause of viral meningitis in adults. We discuss the case of a 57-year-old female patient with enteroviral meningitis manifesting as pseudotumor cerebri, posing significant clinical challenges. She presented with symptoms, signs, and radiological evidence suggesting idiopathic intracranial hypertension. The CSF analysis showed pleocytosis, which led to further investigations that unveiled a positive case of EV by real-time reverse transcription polymerase chain reaction analysis. This case highlights the fact that not all cases of raised intracranial pressure are detrimental or recalcitrant. It accentuates the need for thorough diagnostic evaluation and emphasizes the potential for favorable outcomes with conservative management.
摘要：
脑膜炎是全球重大的健康问题，肠道病毒（EV）是成人病毒性脑膜炎的最常见原因。我们讨论了一名57岁的女性肠道病毒性脑膜炎患者，表现为假性脑瘤，带来了重大的临床挑战。她出现了症状,标志,和放射学证据表明特发性颅内高压。脑脊液分析显示细胞增多,这导致了进一步的研究，通过实时逆转录聚合酶链反应分析揭示了EV的阳性病例。此病例突出表明，并非所有颅内压升高的病例都是有害或顽固的。它强调了全面诊断评估的必要性，并强调了保守管理带来有利结果的潜力。
