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Idiopathic Hypertrophic Spinal Pachymeningitis: A Rare Cause of Spinal Cord Compression
Upon contrast study, there was a linear peripheral enhancement in the anterior aspect of the lesion [Figure 1]a, [Figure 1]b, [Figure 1]c. The lesion was thickest in the region of the C7–T1 region. Cerebrospinal fluid (CSF) tapping was done which showed increased protein (200 mg/dl), glucose 60 mg/d...
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Published in: | Neurology India 2019-09, Vol.67 (5), p.1380-1385 |
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description | Upon contrast study, there was a linear peripheral enhancement in the anterior aspect of the lesion [Figure 1]a, [Figure 1]b, [Figure 1]c. The lesion was thickest in the region of the C7–T1 region. Cerebrospinal fluid (CSF) tapping was done which showed increased protein (200 mg/dl), glucose 60 mg/dl, and cells mostly lymphocytes. The secondary form of this disease is frequently associated with various autoimmune disorders like Wegener's granulomatosis; IgG4 related, rheumatoid arthritis, neuro Behçet's;[2],[9],[10],[11],[12],[13] infectious diseases like tuberculosis,[14],[15] syphilis;[16] chronic granulomatous diseases like sarcoidosis;[17] and heavy chain diseases,[18] etc., The most common location of spinal forms of this disease is cervical followed by thoracic region. [5] According to a nationwide survey in Japan, nearly 50% of affected persons have a subacute onset of disease and in the remaining, hypertrophic pachymeningitis exhibits an acute or chronic pattern. |
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The lesion was thickest in the region of the C7–T1 region. Cerebrospinal fluid (CSF) tapping was done which showed increased protein (200 mg/dl), glucose 60 mg/dl, and cells mostly lymphocytes. The secondary form of this disease is frequently associated with various autoimmune disorders like Wegener's granulomatosis; IgG4 related, rheumatoid arthritis, neuro Behçet's;[2],[9],[10],[11],[12],[13] infectious diseases like tuberculosis,[14],[15] syphilis;[16] chronic granulomatous diseases like sarcoidosis;[17] and heavy chain diseases,[18] etc., The most common location of spinal forms of this disease is cervical followed by thoracic region. 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subjects | Autoimmune diseases Biopsy Disease Histopathology Inflammation NMR Nuclear magnetic resonance Pain Patients Spinal cord Steroids Surgery |
title | Idiopathic Hypertrophic Spinal Pachymeningitis: A Rare Cause of Spinal Cord Compression |
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