Primary diffuse leptomeningeal gliomatosis mimicking a chronic inflammatory meningitis

Melissa W. Ko*, Peter E. Turkeltaub, Edward B. Lee, Nicholas K. Gonatas, Nicholas J. Volpe, Mark L. Moster, Steven L. Galetta

*Corresponding author for this work

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Primary diffuse leptomeningeal gliomatosis (PDLG) is a rare, fatal, neoplastic condition of infiltrating glial cells into the meninges without evidence of primary tumor in the brain or spinal cord parenchyma. Primary diffuse leptomeningeal gliomatosis often presents with symptoms and physical findings of chronic inflammatory meningitis and raised intracranial pressure, and lacks specific clinical, radiologic, and diagnostic criteria. We report a case of PDLG diagnosed post-mortem, highlighting the diagnostic difficulty in identifying PDLG as the cause of chronic meningitis, even when a neoplastic etiology is suspected. Because multiple cytologies and even a leptomeningeal biopsy did not reveal the diagnosis ante-mortem, we emphasize the consideration of multi-site or repeat leptomeningeal biopsy when a persistent inflammatory infiltrate is found and neurological symptoms are progressive.

Original languageEnglish (US)
Pages (from-to)127-131
Number of pages5
JournalJournal of the Neurological Sciences
Volume278
Issue number1-2
DOIs
StatePublished - Mar 15 2009

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Keywords

  • Chronic meningitis
  • Meningeal biopsy
  • Optic neuropathy
  • Primary diffuse leptomeningeal gliomatosis
  • Raised intracranial pressure

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Ko, M. W., Turkeltaub, P. E., Lee, E. B., Gonatas, N. K., Volpe, N. J., Moster, M. L., & Galetta, S. L. (2009). Primary diffuse leptomeningeal gliomatosis mimicking a chronic inflammatory meningitis. Journal of the Neurological Sciences, 278(1-2), 127-131. https://doi.org/10.1016/j.jns.2008.11.026