Idiopathic Hypertrophic Cranial Pachymeningitis Presenting With Headache

Idiopathic hypertrophic cranial pachymeningitis is a rare inflammatory disease, usually involving the dura mater of skull base, tentorium, and falx. Chronic headache is the most common clinical manifestations. We report a case of idiopathic hypertrophic cranial pachymeningitis that was, initially, m...

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Bibliographic Details
Published in:Headache 2008-09, Vol.48 (8), p.1232-1235
Main Authors: Im, So-Hyang, Cho, Keun-Tae, Seo, Hyung Suk, Choi, Jong-Sun
Format: Article
Language:English
Subjects:
acute subdural hematoma
Aged
Biological and medical sciences
Blood Sedimentation
C-Reactive Protein - metabolism
headache
Headache - complications
Headache - pathology
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
inflammation
Magnetic Resonance Imaging
Male
Medical sciences
Meningitis - complications
Meningitis - diagnosis
methotrexate
Nervous system (semeiology, syndromes)
Neurology
pachymeningitis
Tentorium
Tomography Scanners, X-Ray Computed
Vascular diseases and vascular malformations of the nervous system
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Summary:Idiopathic hypertrophic cranial pachymeningitis is a rare inflammatory disease, usually involving the dura mater of skull base, tentorium, and falx. Chronic headache is the most common clinical manifestations. We report a case of idiopathic hypertrophic cranial pachymeningitis that was, initially, misdiagnosed as acute subdural hematoma along the tentorium cerebelli and posterior falx on the brain precontrast CT scan of a patient with severe headache. Correct diagnosis of pachymeningitis was made only after brain magnetic resonance imaging and meningeal biopsy.
ISSN:0017-8748
1526-4610
DOI:10.1111/j.1526-4610.2008.01140.x