CHORDOID MENINGIOMA IN AN ADULT PATIENT PRESENTING WITH CHRONIC FATIGUE AND SYSTEMIC INFLAMMATION

We report a 27-year-old woman presenting with chronic fatigue and depressive symptoms. Aspecific neurologic symptoms and biochemical indices of inflammation and anaemia triggered an MRI, revealing a tumor with compression of the medulla oblongata. After neurosurgical resection, anatomopathologic examination showed a chordoid meningioma. All complaints disappeared and inflammatory parameters normalized, suggesting an association with Castleman syndrome. This case demonstrates the importance of systematic diagnostic approach in patients presenting with unexplained chronic fatigue.