If you are using Turck MMCache and, in IMP:
Here is an example image of the issue:
(Also see http://marc.theaimsgroup.com/?l=imp&m=108163709627707&w=2 for example symptoms)
Go here for instructions on how to fix your problem:
http://marc.theaimsgroup.com/?l=imp&m=108165035111663&w=2
Make sure the cache is deleted everytime Apache is restarted:
http://marc.theaimsgroup.com/?l=imp&m=110841113507998&w=2
Turck MMCache seems to be dead. There's a fork called eAccelerator (http://eaccelerator.sourceforge.net/). This problem should be fixed in the CVS version.