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From the Department of Neurology, University of Munich, Klinikum Grosshadern, Germany.
Address correspondence and reprint requests to Dr. Andreas Bender, Department of Neurology, Klinikum Grosshadern, Marchioninistr. 15, 81377 Munich, Germany; e-mail: andreas.bender{at}med.uni-muenchen.de
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.
Received April 13, 2004. Accepted in final form May 26, 2004.
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