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Three cases of Chronic Meningitis.

Journal of the Korean Pediatric Society 1990;33(4):544-552.
Published online April 30, 1990.
Three cases of Chronic Meningitis.
Soon Mee Park, In Sang Jeon, Hyung Ro Moon
Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
만성 뇌막염 3례
박순미, 전인상, 문형로
서울대학교 의과대학 소아과학교실
Received: 25 September 1989   • Accepted: 25 September 1989
Abstract
Chronic menigitis may be defined as symptoms and signs of meningeal inflammation lasting four weeks or longer. It has many infectious and noninfectious causes. Tuberculous and fungal infections are the most common causes. But no cause is found in the significant portions of chronic meningitis(idiopathic meningitis), although most appear to respond to treatment either with anti-tuberculosis drugs or steroids. Intereastingly eosinophilic pleocytosis in the cerebrospinal fluid(CSF) are found in some cases, which has no casuse except allergy. The clinical features include gradual onset and varying combinations of headache, fever, menin- gism and altered mental state, with pleocytosis in CSF and, in some cases, focal nerological signs. The symptoms and signs are not spontaneously resolved without proper treatment except some cases. We report two cases of chronic meningitis with no definable causes and one case of chronic meningitis with eosinophilic pleocytosis in CSF, which is associated with allergy. A brief review of related literatures was made.
Key Words: Chronic meningitis


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