Aseptic meningitis

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  • A 70-year-old patient presented with dysarthria and and right sided upper limb numbness.
  • FLAIR and diffusion-weighted sulcal hyperintensity and leptomeningeal enhancement regressed after two months of a tapering steroid regimen.
  • Biopsy revealed a chronic lymphocystic meningitis that was assumed to be related to the patient's longstanding rheumatoid arthritis.