Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Chemical Meningitis after a Golf Swing-induced Dermoid Cyst Rupture
Makoto TakahashiMadoka TanabeAkira InabaSatoshi Orimo
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JOURNALS OPEN ACCESS

2020 Volume 59 Issue 20 Pages 2583-2586

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Abstract

A 51-year-old man developed a sudden headache during golf practice, followed by a high fever. He was admitted with suspected neutrophilic meningitis and was diagnosed with chemical meningitis caused by a dermoid cyst rupture based on the characteristic magnetic resonance imaging (MRI) findings, which showed multiple lipid droplets in his ventricle and cistern. His repetitive golf-swing motion was suggested to be the cause of his dermoid cyst rupture. On MRI, the lipid droplets appeared to have migrated by gravity because of the body position. Therefore, the body position should be considered to prevent obstructive hydrocephalus by lipid droplets after a dermoid cyst rupture.

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© 2020 by The Japanese Society of Internal Medicine
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