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Case report
Diagnostic challenges in neoplastic meningitis presenting as intracranial hypertension
  1. Santosh Sriram Andugulapati,
  2. Akash Chheda,
  3. Karan Desai and
  4. Sangeeta Hasmukh Ravat
  1. Department of Neurology, Seth GS Medical College and KEM Hospital, Mumbai, Maharastra, India
  1. Correspondence to Dr Akash Chheda; akashchheda12{at}gmail.com

Abstract

A diagnosis of idiopathic intracranial hypertension should be considered only after careful exclusion of all possible aetiologies. We report a case of neoplastic meningitis presenting as intracranial hypertension with inconclusive repeated cerebrospinal fluid (CSF) cytology and MRI of brain, emphasising the importance of meticulous CSF analysis and role of early whole-body PET–CT scan for diagnosis of systemic malignancy.

  • coma and raised intracranial pressure
  • headache (including migraines)
  • neurooncology
  • neuroimaging

https://doi.org/10.1136/bcr-2020-238808

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    Footnotes

    • Contributors SSA—data collection, prepared manuscript and had participated in patient care. AC—prepared manuscript and patient care. KD—reviewed manuscript, reviewed literature, patient care. SHR—conceptualised case report, literature review, manuscript review, patient care.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.