Reader Response: Teaching NeuroImage: Palindromic Rheumatoid Meningitis: A Tale of 2 Hemispheres

myneuronews February 7, 2022

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Thank you for sharing this interesting case.¹ Pachymeningeal enhancement refers to dura-arachnoid enhancement, which mainly occurs adjacent to the inner table of the skull. The pattern of meningeal enhancement, in this case, would not be pachymeningeal enhancement but would be better described as leptomeningeal enhancement.² Leptomeningeal enhancement follows the pial surface of the brain and fills the subarachnoid spaces of the sulci and cisterns.

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Categories: General Neurology

Editors' Note: Teaching NeuroImage: Palindromic Rheumatoid Meningitis: A Tale of 2 Hemispheres

In “Teaching Neuroimage: Palindromic Rheumatoid Meningitis: A Tale of 2 Hemispheres,” Itrat et al. demonstrated MRI findings due to palindromic rheumatism in a patient who…

myneuronews February 7, 2022

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Teaching NeuroImage: Palindromic Rheumatoid Meningitis: A Tale of 2 Hemispheres

A 61-year-old man presented with right-sided somatosensory seizures and evidence of left-sided pachymeningeal enhancement on a cerebral MRI (figure, A–C). The patient had a seizure…

myneuronews September 20, 2021

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Disease-Modifying Antirheumatic Drugs and Risk of Parkinson Disease: Nested Case-Control Study of People With Rheumatoid Arthritis

Background and Objectives Epidemiologic studies have suggested a link between rheumatoid arthritis and Parkinson disease (PD). Disease-modifying antirheumatic drugs (DMARDs) might explain this association. The…

myneuronews March 22, 2022

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Author Response: Teaching NeuroImage: Palindromic Rheumatoid Meningitis: A Tale of 2 Hemispheres

We thank the reader for the valuable comments on our research.1 The pictures in this case could be more aptly described as leptomeningeal enhancement. Our…

myneuronews February 7, 2022

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Unilateral meningitis: unusual central nervous system involvement in rheumatoid arthritis

A 40-year-old woman developed acute onset of right-sided weakness with ipsilateral partial motor seizures. She had a 6-month history of well-controlled rheumatoid arthritis treated with…

myneuronews February 27, 2021

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