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Case Reports
Primary diffuse leptomeningeal primitive neuroectodermal tumor presenting as chronic meningitis.
- K G Koshy, G B Kulkarni, B N Nandeesh, and A V Taalapalli.
- Department of Neurology, NIMHANS, Bangalore, Karnataka, India.
- J Postgrad Med. 2024 Jan 1; 70 (1): 464946-49.
AbstractPrimary diffuse leptomeningeal primitive neuroectodermal tumor is a rare meningeal neoplasm which can masquerade as chronic meningitis. While the clinical presentation and radiological features may provide a clue to this condition, meningeal biopsy is essential to clinch the diagnosis. A high index of suspicion and a low threshold for re-evaluating cases of neuroinfection that do not respond to empirical therapy are essential in this scenario. We present the case of a nine year old boy who was initiated on antituberculous treatment for chronic meningitis with hydrocephalus. Meningeal biopsy revealed a primary diffuse leptomeningeal primitive neuroectodermal tumor.
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