Abstract. Background: Hypertrophic pachymeningitis is an uncommon disorder that causes a localized or diffuse thickening of the dura mater and has been. Summary: Idiopathic hypertrophic cranial pachymeningitis is a rare inflammatory disease with diffused involvement of the dura. Often, the definite diagnosis is. Hypertrophic pachymeningitis is a unique clinical entity characterised by fibrosis and thickening of the duramater with resulting neurological dysfunction.

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The clinical course was chronic. One case had necrotizing vasculitis of the small pachjmeningitis located in the dura and the cerebral surface. Hypertrophic pachymeningitis is hypertro;hic rare form of diffuse inflammatory disease that causes thickening of the dura mater.

Dural masses dural masses meningioma grading and histological variants grade I meningothelial meningioma fibrous meningioma microcystic meningioma psammomatous meningioma angiomatous meningioma secretory meningioma metaplastic meningioma cartilaginous meningioma lipomatous meningioma melanotic meningioma myxoid meningioma osseous meningioma xanthomatous meningioma lymphoplasmacyte-rich meningioma grade II clear cell meningioma chordoid meningioma atypical meningioma grade III rhabdoid meningioma papillary meningioma anaplastic meningioma a.

An unusual cause of subacute and chronic headache. Author information Article notes Copyright and License information Disclaimer. Rinsho Shinkeigaku ; Please review our privacy policy. Cranial pachymeningitis of unknown hypertrophjc Footnotes Source of Support: Open access journal indexed with Index Medicus.

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Cerebrospinal fluid analysis revealed normal cell count, protein and sugar levels. Click on image for details.

Tuberculous hypertrophic pachymeningitis involving the posterior fossa and high cervical region. Unable to process the form. Varied manifestations of yhpertrophic single disease entity. One cause of painful ophthalmoplegia. BhanuSakthi Velayuthamand M.

Idiopathic hypertrophic pachymeningeal lesions: Idiopathic hypertrophic cranial pachymeningitis: Hypertrophic pachymeningitis can be diagnosed with contrast MRI of brain when the clinician maintains a high index of suspicion for this condition. Best cases from the AFIP: Case Reports Case 1 A year-old lady presented with headache and progressive painless loss of vision in both the eyes over a periods of 6 pachymeningutis.

Hypertrophic pachymeningitis

His past history was not contributory. The main clinical features were headache and cranial hypertropuic palsies. Open in a separate window. P-ANCA positive Wegener’s granulomatosis presenting with hypertrophic pachymeningitis and multiple cranial neuropathies: Related Radiopaedia articles Infections of the central nervous system CNS infections classification by etiology viral eastern equine encephalitis enterovirus rhomboencephalitis flavivirus encephalitis Japanese encephalitis West Nile fever Murray Valley encephalitis St.

Idiopathic hypertrophic pachymeningitis.

Pathological examination in two autopsied cases revealed diffuse thickening of the dura, especially in the posterior part of the falx cerebri and the tentorium cerebelli. How to cite this URL: How to cite this article: This report describes two cases of hypertrophic cranial pachymeningitis and briefly discusses the clinical and radiographic, findings. Both the patient’s routine biochemistry was normal, and they were further evaluated to rule out secondary causes The serum was negative for rheumatoid factor, antinuclear antibodies.


On clinical examination, she had no perception of light in both the eyes and ophthalmoscopic examination showed obliteration of cup with slightly hyperemic fundi.

Idiopathic hypertrophic pachymeningitis.

About Blog Go ad-free. To quiz yourself on this article, log in to see multiple choice questions. Published by Wolters Kluwer – Medknow. Long term improvement of idiopathic hypertrophic cranial pachymeningitis by lymphocytapheresis. Aspecific headache during 13 years as the only symptom of idiopathic hypertrophic pachymeningitis.

You can also scroll through stacks with your mouse wheel or the keyboard pachymeningitix keys. Support Radiopaedia and see fewer ads. Eur J Radiology Extra. Enhanced MR imaging of hypertrophic pachymeningitis.

Nil Conflict of Interest: Four patients underwent biopsy of the dura, and the pathological study showed non-specific inflammatory changes. Cahill DW, Saleman M: Recurrent cranial neuropathy as a clinical presentation of idiopathic inflammation of the duramater: Thank you for updating your details.

Neurological examination pachmyeningitis right hemiparesis, which recovered in 2 days. Gadolinium-enhanced T1-weighted MR images show marked enhancement of the dural edges.