Recurrent Meningitis (Mollaret Meningitis)

Recurrent Meningitis
Body Parts: Head
Medical Subjects: Nervous System

What Is Recurrent Meningitis?

Recurrent meningitis is a recurrent, benign, aseptic meningitis infection, so it is also called "benign recurrent meningitis". The disease was described by a neurologist named Pierre Mollaret, so it is also called "Mollaret meningitis."

Recurrent meningitis is a rare disease characterized by repeated episodes of meningitis, which last for 2 to 5 days and then get better on its own. The interval between episodes can reach several weeks or even years.


What Is The Cause Of Recurrent Meningitis?

The most common infection of recurrent meningitis is the herpes simplex virus HSV-2. Some other viruses such as Epstein-Barr virus may also cause recurrent meningitis.

Can recurrent meningitis be inherited?

Will not.

Can recurrent meningitis be contagious?

Recurrent meningitis itself is not contagious, but the herpes simplex virus HSV-2 that causes recurrent meningitis can be transmitted from person to person, mainly through direct skin and mucous membrane contact and sexual contact.


What Are The Symptoms Of Recurrent Meningitis?

Like other meningitis, the symptoms of recurrent meningitis also include headache, nausea, vomiting, and neck stiffness.

Some people also experience short-term hallucinations, double or multiple shadows when looking at things, cranial nerve palsy or epilepsy, etc. Some people have long-term memory, balance, or coordination problems.


How Is Recurrent Meningitis Diagnosed?

The doctor will make a comprehensive judgment based on the history of repeated attacks, the time and performance of each attack, blood routine and cerebrospinal fluid examination results.

What examinations should be done for recurrent meningitis?

  • Blood routine: It is a blood test to determine whether there is infection based on indicators such as white blood cell count.
  • Lumbar puncture: A needle is inserted from the lower back to extract cerebrospinal fluid for examination, which can determine the specific bacterial or viral infection, and it can also relieve headaches and vomiting symptoms. This test is essential for the diagnosis and classification of meningitis, but it is an invasive test that requires the patient and family members to sign, the patient must not move during the puncture, and the family’s help to provide comfort when necessary. After the puncture, the patient needs to rest on his back without a pillow for a period of time.

What diseases are similar to recurrent meningitis?

Because recurrent meningitis is mostly caused by viruses, it is very similar to viral meningitis. Clinicians will make the final diagnosis based on the history of recurrent attacks and the results of cerebrospinal fluid examinations.


Can Recurrences Be Prevented?

  • Pay attention to personal hygiene, wash your hands, bathe, and change clothes frequently.
  • It is also necessary to ventilate in cold weather, and a closed environment is conducive to the growth of bacteria.
  • Strengthen exercise and improve immunity.
  • Maintain a balanced diet, not partial or picky eaters.

How to prevent the sequelae of recurrent meningitis?

Recurrent meningitis generally has mild symptoms and rarely has sequelae.


How To Treat Recurrent Meningitis?

The antiviral drug acyclovir is commonly used for treatment, and doctors will also choose other drugs according to each person's specific condition.

Do I have to go to the hospital for recurrent meningitis?

Uncertain. Some patients with mild symptoms can get better on their own without going to the hospital.

What are the common side effects of drugs used to treat recurrent meningitis? Is long-term eating harmful to the body?

Common side effects of acyclovir include: dizziness, headache, joint pain, nausea, vomiting, diarrhea, stomach upset, loss of appetite, thirst, skin itching, etc.

Long-term medication may cause acne, insomnia, menstrual disorders, etc., and repeated medication may cause the virus to develop resistance in the patient's body, so it must be taken under the guidance of a doctor.

Can recurrent meningitis be cured?

The herpes virus cannot induce permanent immunity in the human body. After infection, the virus may be latent in certain cells and recur easily, so it is difficult to cure it.


What Should Patients With Recurrent Meningitis Pay Attention To In Life?

Wash hands frequently, ventilate frequently, pay attention to personal hygiene, and avoid cross-infection.

Does recurrent meningitis need to be reviewed?

If you are discharged after a full recovery, you do not need to review.

Does recurrent meningitis affect fertility?

Does not affect.

Can patients with recurrent meningitis fly by plane, exercise vigorously, or travel to the plateau?

After recovery, you can.

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