title: Aseptic meningitis after posterior fossa surgery treated by pseudomeningocele closure.
abstract: Aseptic meningitis is a recognised complication after posterior fossa surgery. It is often self limiting but occasionally runs a protracted course requiring repeated CSF examination to exclude infection, and treatment with systemic steroids. A patient is described with aseptic meningitis after posterior fossa surgery who underwent posterior fossa re-exploration nearly 3 years after the initial operation. This disclosed a pseudomeningocele, which was closed. The patient remains symptom free almost 2 years after closure. In this case of chronic aseptic meningitis after posterior fossa surgery, closure of the pseudomeningocele found at exploratory surgery led to resolution of the symptoms.
authors.affiliation: Department of Neurology, University Hospital of Wales, Heath Park, Cardiff CF4 4XW, UK. hillier@cdsc.wales.nhs.uk
authors.forename: C E
authors.initials: CE
authors.lastname: Hillier
authors.forename: A P
authors.initials: AP
authors.lastname: Stevens
authors.forename: F
authors.initials: F
authors.lastname: Thomas
authors.forename: J
authors.initials: J
authors.lastname: Vafidis
authors.forename: R
authors.initials: R
authors.lastname: Hatfield
mesh_terms: D000293:Adolescent; D001254:Astrocytoma / Q000601:surgery; D001932:Brain Neoplasms / Q000601:surgery; D003388:Cranial Fossa, Posterior / Q000601:surgery*; D006801:Humans; D008297:Male; D008582:Meningitis, Aseptic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008588:Meningocele / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D019635:Neurosurgical Procedures; D011183:Postoperative Complications