Case 216: Hypertrophic Spinal Pachymeningitis
نویسندگان
چکیده
منابع مشابه
Idiopathic hypertrophic spinal pachymeningitis: a case report.
Idiopathic hypertrophic pachymeningitis (IHP) is a rare, chronic nonspecific and granulomatous inflammatory disorder of the dura with unknown etiology. The diagnosis can be established by open biopsy and exclusion of all other specific granulomatous and infectious diseases. We report a typical case of spinal IHP occurring in a long segment of cervical and thoracic dura from C6 to T8. The patien...
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A 42-year-old woman had progressive numbness from both feet to mid chest for 2 weeks. Examination showed a sensory level at T8, no weakness, and brisk reflexes throughout. MRI showed T2–T5 dural thickening (figure 1). Testing revealed an elevated sedimentation rate and normal chest x-ray, CSF analyses, and tests for rheumatologic diseases and infections. Dural biopsy showed an inflammatory infi...
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We describe a case of idiopathic hypertrophic spinal pachymeningitis in a 62 -year -old gentleman presenting with progressive myelopathy of two years. The imaging and corresponding histological findings are discussed and correlated.
متن کاملANCA-Associated Systemic Vasculitis Presenting With Hypertrophic Spinal Pachymeningitis
Reports of hypertrophic pachymeningitis associated with myeloperoxidase-antineutrophil cytoplasmic antibody (MPO-ANCA) localized exclusively in the spine were quite rare. Two cases of ANCA-associated systemic vasculitis (AASV) presenting with hypertrophic spinal pachymeningitis (HSP) causing low back pain and numbness are described. Two patients showed prominent systemic and local inflammatory ...
متن کاملEffective Response of Methotrexate for Recurrent Idiopathic Hypertrophic Spinal Pachymeningitis
Idiopathic hypertrophic spinal pachymeningitis (IHSP) is a chronic progressive and diffuse inflammatory fibrosis of the spinal dura mater. Though treatment of IHSP is surgical decompression with steroid therapy, treatment for recurrent IHSP is controversial. Our patient was diagnosed with IHSP based on magnetic resonance imaging (MRI) and underwent laminectomy for decompression following steroi...
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ژورنال
عنوان ژورنال: Radiology
سال: 2015
ISSN: 0033-8419,1527-1315
DOI: 10.1148/radiol.15122159