Neuro-Behçet’s Disease Presenting as Hypertrophic Pachymeningitis

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Neuro-Behçet's Disease Presenting as Hypertrophic Pachymeningitis

A 25-year-old man presented with blurred vision and chronic headache. His brain MRI revealed bilateral frontal pachymeningeal enhancement with leptomeningeal enhancement. The patient had experienced recurrent oral ulcer and had anterior uveitis and papulopustules skin lesion. We diagnosed him with hypertrophic pachymeningitis (HP) associated with neuro-Behçet's disease (NBD). There have been fe...

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An Exceptional GPA: Granulomatosis with Polyangiitis Presenting as Hypertrophic Pachymeningitis

Background: Granulomatosis with polyangiitis (GPA) is a necrotizing vasculitis usually involving small blood vessels that has been described to rarely effect the meninges, presenting with headaches and in our case papilledema. Thickened dura mater may be seen on brain imaging and is an entity known as hypertrophic pachymeningitis. We present a case of isolated dural recrudescence of ANCA vascul...

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Idiopathic hypertrophic pachymeningitis presenting with occipital neuralgia.

BACKGROUND Although occipital neuralgia is usually caused by degenerative arthropathy, nearly 20 other aetiologies may lead to this condition. METHODS We present the first case report of hypertrophic pachymeningitis revealed by isolated occipital neuralgia. RESULTS AND CONCLUSIONS Idiopathic hypertrophic pachymeningitis is a plausible cause of occipital neuralgia and may present without cra...

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Neuro-Behçets in a Child

We describe a case of neuro-Behçet disease diagnosed in a 12-year-old girl. This patient presented with recurrent oral ulcers, incontinence, spastic gait, blurry vision, and asymmetrical lower extremity hypertonia. Extensive testing revealed punctate lesions through the central nervous system, vitritis, papillitis, and uveitis. A thorough infectious and neoplastic workup was negative. She was t...

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IgG4-Related Disease and Hypertrophic Pachymeningitis

Hypertrophic pachymeningitis (HP) is an inflammatory condition in which the dura mater of the cranium or spine becomes thickened, leading to symptoms that result from mass effect, nerve compression, or vascular compromise. The differential diagnosis of HP includes immune-mediated conditions such as rheumatoid arthritis and vasculitis, malignancies, and infections. Many times, no diagnosis is re...

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ژورنال

عنوان ژورنال: Experimental Neurobiology

سال: 2015

ISSN: 1226-2560,2093-8144

DOI: 10.5607/en.2015.24.3.252