Lab Med Online.  2017 Jan;7(1):34-36. 10.3343/lmo.2017.7.1.34.

Eosinophilic Meningitis after Bovine Graft Duraplasty for Arnold-Chiari Malformation Type 1 in a 33-year-old Man

• Lee HT
• Park PW
• Seo YH
• Kim KH
• Seo JY
• Jeong JH
• Kim MJ
• Ahn JY

• KMID: 2363004
• DOI: http://doi.org/10.3343/lmo.2017.7.1.34

Abstract

Cases of pediatric eosinophilic meningitis following duraplasty with a bovine graft have been reported. These patients recovered following the surgical removal of the dural graft or steroid therapy. Decompression for Chiari malformation is a common procedure in both pediatric and adult neurosurgery. We describe the case of a 33-yr-old male patient with eosinophilic meningitis following Chiari decompression via bovine graft duraplasty. Cerebrospinal fluid (CSF) study showed 49 red blood cells/μL and 129 leukocytes/μL with 17% eosinophils. There was no evidence of infectious disease. To our knowledge, this is the first report of adult eosinophilic meningitis after bovine graft duraplasty in Korea.

Keyword

Eosinophilic meningitis; Bovine graft; Arnold-Chiari malformation

MeSH Terms

Adult*
Arnold-Chiari Malformation*
Cerebrospinal Fluid
Communicable Diseases
Decompression
Eosinophils*
Humans
Korea
Male
Meningitis*
Neurosurgery
Transplants*

Figure

• 

  Fig. 1 Wright-Giemsa-stained cytospin smear (×1,000) of cerebrospinal fluid demonstrated increased eosinophils (arrow) at diagnosis (A) and follow up after 2 months (B).

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