Increased Intracranial Pressure in the Setting of Enterovirus and Other Viral MeningitidesReport as inadecuate

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Neurology Research International - Volume 2017 2017, Article ID 2854043, 4 pages -

Research ArticleThe Saul R. Korey Department of Neurology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA

Correspondence should be addressed to Jules C. Beal

Received 1 August 2016; Accepted 14 December 2016; Published 12 April 2017

Academic Editor: Rod Scott

Copyright © 2017 Jules C. Beal. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Increased intracranial pressure due to viral meningitis has not been widely discussed in the literature, although associations with Varicella and rarely Enterovirus have been described. Patients with increased intracranial pressure and cerebrospinal fluid analysis suggestive of a viral process are sometimes classified as having atypical idiopathic intracranial hypertension IIH. However, a diagnosis of IIH requires normal cerebrospinal fluid, and therefore in these cases an infection with secondary intracranial hypertension may be a more likely diagnosis. Here seven patients are presented with elevated intracranial pressure and cerebrospinal fluid suggestive of viral or aseptic meningitis. Of these, 1 had Enterovirus and the remainder were diagnosed with nonspecific viral meningitis. These data suggest that viral meningitis may be associated with elevated intracranial pressure more often than is commonly recognized. Enterovirus has previously been associated with increased intracranial pressure only in rare case reports.

Author: Jules C. Beal



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