Chemical Meningitis after a Golf Swing-induced Dermoid Cyst Rupture

Intern Med. 2020 Oct 15;59(20):2583-2586. doi: 10.2169/internalmedicine.4854-20. Epub 2020 Jun 23.

Abstract

A 51-year-old man developed a sudden headache during golf practice, followed by a high fever. He was admitted with suspected neutrophilic meningitis and was diagnosed with chemical meningitis caused by a dermoid cyst rupture based on the characteristic magnetic resonance imaging (MRI) findings, which showed multiple lipid droplets in his ventricle and cistern. His repetitive golf-swing motion was suggested to be the cause of his dermoid cyst rupture. On MRI, the lipid droplets appeared to have migrated by gravity because of the body position. Therefore, the body position should be considered to prevent obstructive hydrocephalus by lipid droplets after a dermoid cyst rupture.

Keywords: chemical meningitis; dermoid cyst rupture; golf swing; gravity; lipid droplet.

Publication types

  • Case Reports

MeSH terms

  • Dermoid Cyst / complications*
  • Dermoid Cyst / diagnostic imaging
  • Golf
  • Humans
  • Hydrocephalus / etiology
  • Magnetic Resonance Imaging / adverse effects
  • Male
  • Meningitis / diagnostic imaging
  • Meningitis / etiology*
  • Middle Aged
  • Rupture, Spontaneous / complications*