Rheumatoid Meningitis

Rheumatoid meningitis is a rare manifestation of autoimmune rheumatoid arthritis. A 70-year-old man with rheumatoid arthritis had presented with speech difficulties and limb weakness. Magnetic resonance imaging of his brain demonstrated diffuse meningeal enhancement. A biopsy confirmed the presence of rheumatoid meningitis. In the present report, we have discussed the diagnostic and therapeutic approach to rheumatoid meningitis.