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Case No. 645
2023-02-01~2023-02-28
출제자 : 유성혜
Hit : 424
| Period | 2023-02-01~2023-02-28 |
|---|---|
| Diagnosis | Rheumatoid meningitis |
| Gender |
|
| Age | 65 |
| Clinical information | Female/65 C.C> Rheumatoid arthritis 환자로 두통을 주소로 내원하였다. 진단은? --> Seropositive rheumatoid arthritis 환자로 initial MRI 이후 steroid treatment 시행함. 이후 FU MRI에서 병변 호전됨. |
| Discussion | Rheumatoid meningitis - Rare CNS complication - Aseptic inflammation of the meninges - Pachymeningitis and leptomeningitis - Pachy- and leptomeningeal enhancement - Diffusion restriction: proteinous debris accumulation |
| Correct answer |
Correct Answer
Semi-Correct Answer |