Unveiling the Veiled: Enteroviral Meningitis Mimicking Idiopathic Intracranial Hypertension

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 presen...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-07, Vol.16 (7), p.e63884
Main Authors: A, Sathvika, C, Nirmala D, Pj, Shiny, Ravichandran, Sreevinishaa, Kumar, J S
Format: Article
Language:English
Subjects:
Antiviral drugs
Brain research
Case reports
Consciousness
Edema
Fever
Glucose
Hypertension
Immunocompetence
Intracranial pressure
Lymphocytes
Meningitis
Neurology
Nonsteroidal anti-inflammatory drugs
Optic nerve
Streptococcus infections
Tinnitus
Viruses
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Summary: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.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.63884