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Rheumatology International

, Volume 25, Issue 3, pp 230–233 | Cite as

A case of idiopathic hypertrophic cranial pachymeningitis manifested only by positive rheumatoid factor and abnormal findings of the anterior falx

  • Motoko Kanemoto
  • Yasuhiro OtaEmail author
  • Taro Karahashi
  • Norio Nozue
Case Report

Abstract

In this report, we present a rare case of a 52-year-old man with a unique form of hypertrophic pachymeningitis involving the anterior part of the falx and who was positive for rheumatoid factor. The clinical symptom was only headache, without any cranial nerve palsies or ataxia. Diagnosis was made by gallium scintigraphy and magnet resonance imaging but was not confirmed by dural biopsy. Treatment with corticosteroid alone was extremely effective for him, while in most cases hypertrophic pachymeningitis recurs or progresses despite the treatment.

Keywords

Gallium scintigraphy Hypertrophic pachymeningitis Magnet resonance imaging Rheumatoid factor 

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Motoko Kanemoto
    • 1
  • Yasuhiro Ota
    • 2
    Email author
  • Taro Karahashi
    • 1
  • Norio Nozue
    • 1
  1. 1.Department of Internal Medicine, Section of RheumatologyFujieda Municipal General HospitalShizuokaJapan
  2. 2.Third Department of Internal MedicineHamamatsu University School of MedicineShizuoka 431-3192Japan

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