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Spontaneous resolution of hypertrophic cranial pachymeningitis

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Abstract

A 36-year-old woman presented suffering from severe headache and diplopia. Magnetic resonance imaging showed a diffuse thickening of the cranial dura mater which was enhanced by gadolinium-DTPA. Two months later, an improvement of the clinical symptoms and a spontaneous resolution of the dural thickening were noted. Hypertrophic cranial pachymeningitis and other diseases causing diffuse dural thickening are discussed.

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References

  1. Aström KE, SO Lindholm: Extensive intracranial lesions in a case of orbital nonspecific granuloma combined with polyarteritis nodosa. J Clin Pathol 16 (1963) 137–143

    PubMed  Google Scholar 

  2. Callebaut J, D Dormount, B Dubois, J Chiras, J Bories: Contrast-enhanced MR imaging of tuberculous pachymeningitis cranialis hypertrophica: case report. AJNR 11 (1990) 821–822

    Google Scholar 

  3. De Tribolet N, E Zander, D Phil: Intracranial sarcoidosis presenting angiographically as a subdural hematoma. Surg Neurol 9 (1978) 169–171

    PubMed  Google Scholar 

  4. Eto F, Y Shimada, H Endo, T Mozai: [An autopsied case of Wegener's granulomatosis with remarkable pachymeningitis]. Rinsho Shinkeigaku 16 (1976) 326–332 (Jpn)

    Google Scholar 

  5. Feringa ER, L Weatherbee: Hypertrophic granulomatous cranial pachymeningitis causing progressive blindness in a chronic dialysis patient. J Neurol Neurosurg Psychiatry 38 (1975) 1170–1176

    Google Scholar 

  6. Fujimoto M, J Kira, H Murai, T Yoshimura, K Takizawa, I Goto: Hypertrophic cranial pachymeningitis associated with mixed connective tissue disease. A comparison with idiopathic and infectious pachymeningitis. Internal Medicine 32 (1993) 510–512

    Google Scholar 

  7. Gorell JM, WA Palutke, JL Chason: Candida pachymeningitis with multiple cranial nerve paresis. Arch Neurol 36 (1979) 719–720

    Google Scholar 

  8. Hayes WS, JL Sherman, BJ Stem, CM Citrin, PD Pulaski: MR and CT evaluation of intracranial sarcoidosis. AJNR 8 (1987) 841–847

    Google Scholar 

  9. Ishii A, N Ohkoshi, H Nagata, I Kanazawa: [A case of Garcin's syndrome caused by pachymeningitis secondary to otitis media, responsive to antibiotic therapy]. Rinsho Shinkeigaku 31 (1991) 837–841 (Jpn)

    PubMed  Google Scholar 

  10. Kobayashi T, M Toyama, T Kawaguchi, K Yamamoto, H Masuda, H Takeda: [Two cases of hypertrophic pachymeningitis diagnosed by MRI]. Progress in CI 15 (1993) 101–104 (Jpn)

    Google Scholar 

  11. Mamelak AN, WM Kelly, RL Davis, ML Rosenblum: Idiopathic hypertrophic cranial pachymeningitis. Report of three cases. J Neurosurg 79 (1993) 270–276

    PubMed  Google Scholar 

  12. Martin N, C Masson, D Henin, D Mompoint, C Marsault, H Nahum: Hypertrophic cranial pachymeningitis. AJNR 10 (1989) 477–484

    Google Scholar 

  13. Michel D, PF Girard, M Tommasi, R Masson, M Trillet, JP Piccinali: Les pachyméningites granulomateuses intra-craniennes á symptomatologie pseudo-tumorale. A propos de 4 observations. J Med Lyon 50 (1969) 547–577

    Google Scholar 

  14. Moore AP, EB Rolfe, EL Jones: Pachymeningitis cranialis hypertrophica. J Neurol Neurosurg Psychiatry 48 (1985) 942–944

    PubMed  Google Scholar 

  15. Murai H, J Kira, T Kobayashi, I Goto, H Inoue, K Hasuo: Hypertrophic cranial pachymeningitis due to Aspergillus flavus. Clin Neurol Neurosurg 94 (1992) 247–250

    Google Scholar 

  16. Pannullo SC, JB Reich, G Krol, MDF Deck, JB Posner: MRI changes in intracranial hypotension. Neurology 43 (1993) 919–926

    Google Scholar 

  17. Ranoux D, B Devaux, C Lamy, JY Mear, FX Roux, JL Mas: Meningeal sarcoidosis, pseudomeningioma, and pachymeningitis of the convexity. J Neurol Neurosurg Psychiatry 55 (1992) 300–303

    Google Scholar 

  18. Schiess RJ, MF Coscia, GA McClellan: Petriellidium boydii pachymeningitis treated with miconazole and ketoconazole. Neurosurgery 14 (1984) 220–224

    PubMed  Google Scholar 

  19. Weinstein GW, SR Powell, WP Thrush: Chiasmal neuropathy secondary to rheumatoid pachymeningitis. Am J Ophthalmol 104 (1987) 439–440

    Google Scholar 

  20. Yuh WTC, JM Drew, M Rizzo, TJ Ryals, Y Sato, WE Bell: Evaluation of pachymeningitis by contrast-enhanced MR imaging in a patient with rheumatoid disease. AJNR 11 (1990) 1247–1248

    Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Neurological Institute, Kyushu University, Fukuoka, Japan

    Shunji Nishio, Takato Morioka & Masashi Fukui

  2. Department of Internal Medicine III, Kyushu University, Fukuoka, Japan

    Atsushi Togawa, Toshihiko Yanase & Hajime Nawata

  3. Department of Radiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan

    Kanehiro Hasuo

Authors
  1. Shunji Nishio
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  2. Takato Morioka
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  3. Atsushi Togawa
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  4. Toshihiko Yanase
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  5. Hajime Nawata
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  6. Masashi Fukui
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  7. Kanehiro Hasuo
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Nishio, S., Morioka, T., Togawa, A. et al. Spontaneous resolution of hypertrophic cranial pachymeningitis. Neurosurg. Rev. 18, 201–204 (1995). https://doi.org/10.1007/BF00383727

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  • DOI: https://doi.org/10.1007/BF00383727

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