Unilateral rheumatoid meningitis presenting with headache in a patient with absent history of rheumatoid arthritis

Abstract

Rheumatoid arthritis is a chronic systemic autoimmune disorder, leading to joints` inflammation and their destruction. Extra articular manifestations are described in about 20% of patients with rheumatoid arthritis. Rheumatoid meningitis (RM) is a very rare severe complication with CNS involvement. The severity and lethality of rheumatoid meningitis is determined by its challenging diagnosing due to multiplicity of clinical symptoms and takes 60% by Mélanie Trabelsi et al., in spite of treatment.