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Papilloedema and cranial nerve palsies complicating apparent benign aseptic meningitis

Papilloedema and cranial nerve palsies complicating apparent benign aseptic meningitis
Papilloedema and cranial nerve palsies complicating apparent benign aseptic meningitis

Three patients who presented with apparently uncomplicated aseptic meningitis subsequently developed papilloedema and sixth cranial nerve palsies between 11 and 16 days after the onset of the illness. All three patients recovered completely without treatment. Raised intracranial pressure is a poorly recognized complication of aseptic meningitis that may represent a post-infective or 'allergic' response to an enteroviral infection. While clinicians should be aware of this possible complication of aseptic meningitis, differentiation from tuberculous meningitis may be difficult necessitating empirical treatment with anti-TB drugs.

Abducens Nerve, Adolescent, Adult, Cranial Nerve Diseases/etiology, Female, Humans, Lymphocytosis/cerebrospinal fluid, Male, Meningitis, Aseptic/cerebrospinal fluid, Papilledema/etiology
0141-0768
201-2
Lo, S
9387dafd-82bb-49c7-be66-e6cbd5eab83a
Phillips, D I
29b73be7-2ff9-4fff-ae42-d59842df4cc6
Peters, J R
49388791-d3eb-41b7-a22c-9fffb350e02a
Hall, M
e6dbe9b2-2f83-45bb-8a20-ed8c5fca695a
Hall, R
b785f1a2-5387-4601-9245-a9724c40b1a5
Lo, S
9387dafd-82bb-49c7-be66-e6cbd5eab83a
Phillips, D I
29b73be7-2ff9-4fff-ae42-d59842df4cc6
Peters, J R
49388791-d3eb-41b7-a22c-9fffb350e02a
Hall, M
e6dbe9b2-2f83-45bb-8a20-ed8c5fca695a
Hall, R
b785f1a2-5387-4601-9245-a9724c40b1a5

Lo, S, Phillips, D I, Peters, J R, Hall, M and Hall, R (1991) Papilloedema and cranial nerve palsies complicating apparent benign aseptic meningitis. Journal of the Royal Society of Medicine, 84 (4), 201-2. (doi:10.1177/014107689108400406).

Record type: Article

Abstract

Three patients who presented with apparently uncomplicated aseptic meningitis subsequently developed papilloedema and sixth cranial nerve palsies between 11 and 16 days after the onset of the illness. All three patients recovered completely without treatment. Raised intracranial pressure is a poorly recognized complication of aseptic meningitis that may represent a post-infective or 'allergic' response to an enteroviral infection. While clinicians should be aware of this possible complication of aseptic meningitis, differentiation from tuberculous meningitis may be difficult necessitating empirical treatment with anti-TB drugs.

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More information

Published date: 15 April 1991
Keywords: Abducens Nerve, Adolescent, Adult, Cranial Nerve Diseases/etiology, Female, Humans, Lymphocytosis/cerebrospinal fluid, Male, Meningitis, Aseptic/cerebrospinal fluid, Papilledema/etiology

Identifiers

Local EPrints ID: 475267
URI: http://eprints.soton.ac.uk/id/eprint/475267
ISSN: 0141-0768
PURE UUID: 80582336-2d4c-410f-bfb3-dad509562fad

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Date deposited: 14 Mar 2023 17:59
Last modified: 17 Mar 2024 00:52

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Contributors

Author: S Lo
Author: D I Phillips
Author: J R Peters
Author: M Hall
Author: R Hall

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