# Unveiling the Veiled: Enteroviral Meningitis Mimicking Idiopathic Intracranial Hypertension

## TL;DR

This paper presents a case where enteroviral meningitis was mistaken for idiopathic intracranial hypertension, highlighting the importance of thorough diagnosis.

## Contribution

The novelty lies in demonstrating how enteroviral meningitis can mimic pseudotumor cerebri, offering insights into accurate diagnosis and conservative treatment.

## Key findings

- Enteroviral meningitis can present with symptoms resembling idiopathic intracranial hypertension.
- Thorough diagnostic evaluation is crucial for distinguishing between similar neurological conditions.
- Conservative management can lead to favorable outcomes in such cases.

## Abstract

Meningitis is a significant health concern globally, with enterovirus (EV) being the most common cause of viral meningitis in adults. We discuss the case of a 57-year-old female patient with enteroviral meningitis manifesting as pseudotumor cerebri, posing significant clinical challenges. She presented with symptoms, signs, and radiological evidence suggesting idiopathic intracranial hypertension. The CSF analysis showed pleocytosis, which led to further investigations that unveiled a positive case of EV by real-time reverse transcription polymerase chain reaction analysis. This case highlights the fact that not all cases of raised intracranial pressure are detrimental or recalcitrant. It accentuates the need for thorough diagnostic evaluation and emphasizes the potential for favorable outcomes with conservative management.