Difference between revisions of "Granulomatous Meningoencephalitis"

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(Created page with "(GME) * An idiopathic CNS conditon * May occur as: ** A disseminated disease ** A focal mass lesion ** A primary occular disease * Brain...")
 
 
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(GME)
 
(GME)
* An [[CNS Idiopathic Conditions - Pathology|idiopathic CNS conditon]]
+
* An idiopathic CNS conditon
 
* May occur as:
 
* May occur as:
 
** A disseminated disease
 
** A disseminated disease
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[[:Category:CNS Non-Infectious Inflammatory Diseases]]
+
* A non-infectious central nervous inflammatory disease
 +
* May occur as:
 +
** A disseminated disease
 +
** A focal mass lesion
 +
** A primary occular disease
 +
* Brainstem signs are common, although the forebrain is primarily affected.
 +
* May be incorrectly diagnosed as lymphoma.
 +
* Changes are apparent in the CSF.
 +
** There is usually a mononucloear pleocytosis.
 +
** Sometimes only protein is elveated.
 +
* Diffuse inflammatory changes or a mass lesion will be seen by advanced imaging.
 +
** However, biopsy is required for a definative diagnosis.
 +
* Life span is between 6 months and 1 year from diagnosis.
 +
 
 +
 
 +
[[Category:Central Nervous System - Idiopathic Pathology]]
 +
[[Category:CNS Non-Infectious Inflammatory Diseases]]

Latest revision as of 13:20, 13 February 2019

(GME)

  • An idiopathic CNS conditon
  • May occur as:
    • A disseminated disease
    • A focal mass lesion
    • A primary occular disease
  • Brainstem signs are common, although the forebrain is primarily affected.
  • May be incorrectly diagnosed as lymphoma.
  • Changes are apparent in the CSF.
    • There is usually a mononucloear pleocytosis.
    • Sometimes only protein is elveated.
  • Diffuse inflammatory changes or a mass lesion will be seen by advanced imaging.
    • However, biopsy is required for a definative diagnosis.
  • Life span is between 6 months and 1 year from diagnosis.

Treatment

  • Immunosuppression:
    • Corticosteroids
    • Azathioprine
    • Cycophosphamide
  • Surgery
    • This is only appropriate if there is a focal mass.
  • Radiation therapy.


  • A non-infectious central nervous inflammatory disease
  • May occur as:
    • A disseminated disease
    • A focal mass lesion
    • A primary occular disease
  • Brainstem signs are common, although the forebrain is primarily affected.
  • May be incorrectly diagnosed as lymphoma.
  • Changes are apparent in the CSF.
    • There is usually a mononucloear pleocytosis.
    • Sometimes only protein is elveated.
  • Diffuse inflammatory changes or a mass lesion will be seen by advanced imaging.
    • However, biopsy is required for a definative diagnosis.
  • Life span is between 6 months and 1 year from diagnosis.