Severe symptomatic aseptic chemical meningitis following myelography: the role of procalcitonin.

Andreas Bender, Matthias Elstner, Robert Paul, Andreas Straube

Index: Neurology 63(7) , 1311-3, (2004)

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Abstract

Symptomatic aseptic, chemical meningitis is a rare complication of myelography. Its acute clinical course and standard laboratory findings are indistinguishable from those of bacterial meningitis. The authors present a case of severe postmyelographic chemical meningitis and compare CSF and serum inflammatory markers to a group of seven patients with proven bacterial meningitis. As in viral meningitis, procalcitonin might be able to discriminate between bacterial and chemical causes of CNS inflammation.