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Rheumatoid meningitis
  1. Akin Nihat,
  2. Krishna Chinthapalli,
  3. Leslie Bridges,
  4. Paul Johns,
  5. Nidhi Sofat,
  6. Barry Moynihan
  1. St. George's Hospital, London, UK
  1. Correspondence to Dr Akin Nihat, St. George's Hospital, London SW17 0QT, UK; akin.nihat{at}


Rheumatoid meningitis is a rare, potentially treatable condition that can mimic a wide range of neurological conditions, including vascular syndromes and encephalopathies. Despite a concurrent history of rheumatoid arthritis, patients often have no active synovitis. Here we describe a patient with rheumatoid meningitis who presented to a hyperacute stroke unit with dysarthria on waking and transient facial droop.


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