Becker W J, Watters G V, de Chadarevian J P, Vanasse M
Can J Neurol Sci. 1984 Aug;11(3):387-9. doi: 10.1017/s0317167100045777.
Two patients with recurrent aseptic meningitis are reported. Intracranial epidermoid tumors were eventually found in both patients. CSF changes in our first case with an epidermoid tumor were similar to those reported in Mollaret's meningitis, with an initial polymorphonuclear pleocytosis early in each attack, followed by a lymphocytic predominance several days later. Large cells which proved to be macrophages were also seen in the CSF of this patient. Both patients had meningitis attacks for several years before the underlying epidermoid tumor was found. Mollaret's meningitis remains a diagnosis of exclusion. These patients should remain tumor suspects for many years and deserve careful and repeated investigation.
报告了两名复发性无菌性脑膜炎患者。最终在两名患者中均发现了颅内表皮样肿瘤。我们第一例患有表皮样肿瘤患者的脑脊液变化与莫拉雷脑膜炎中报道的相似，每次发作初期有中性粒细胞增多，数天后淋巴细胞占优势。在该患者的脑脊液中还可见到被证实为巨噬细胞的大细胞。两名患者在发现潜在的表皮样肿瘤之前都有多年的脑膜炎发作史。莫拉雷脑膜炎仍然是一种排除性诊断。这些患者多年来都应被怀疑有肿瘤，值得仔细反复检查。
