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Acta Neuropathologica

, Volume 94, Issue 4, pp 385–389 | Cite as

Idiopathic hypertrophic cranial pachymeningitis mimicking multiple meningiomas: case report and review of the literature

  • M. Deprez
  • J. Born
  • C. Hauwaert
  • B. Otto
  • M. Reznik
Case report

Abstract

A case of idiopathic hypertrophic cranial pachymeningitis with an unusual and misleading manifestation is reported. Computed tomography scan, angiographic and magnetic resonance imaging findings were suggestive of multiple meningeal neoplasms and a correct diagnosis was made only after meningeal biopsy. This 44-year-old patient had a previous history of an ill-defined systemic disorder associating episcleritis, erythroderma nodosa and multiple peripheral arthritis. We review previous reports of idiopathic cranial pachymeningitis with emphasis on radiological investigation techniques, histopathology and possible dysimmune mechanisms of pathogenesis.

Key words Dura mater Meningitis Tumor 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • M. Deprez
    • 1
  • J. Born
    • 2
  • C. Hauwaert
    • 3
  • B. Otto
    • 4
  • M. Reznik
    • 1
  1. 1.Department of Neuropathology, Tour de Pathologie-B-35, CHU, B-4000 Sart-Tilman-Liège, BelgiumBE
  2. 2.Department of Neurosurgery, CHR, Liège, BelgiumBE
  3. 3.Department of Internal Medicine, CHU, Liège, BelgiumBE
  4. 4.Department of Radiology, CHR, Liège, BelgiumBE

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