Hypertrophic chronic pachymeningitis as a localized immune process in the craniocervical region

被引:22
作者
Voller, B
Vass, K
Wanschitz, J
Machold, K
Asenbaum, S
Hoberstorfer, M
Auff, E
机构
[1] Univ Vienna, Dept Neurol, A-1090 Vienna, Austria
[2] Univ Vienna, Inst Neurol, A-1090 Vienna, Austria
[3] Univ Vienna, Dept Internal Med 3, Div Rheumatol, A-1090 Vienna, Austria
[4] Univ Vienna, Dept Nucl Med, A-1090 Vienna, Austria
[5] Lainz Hosp, Dept Neurol, Vienna, Austria
关键词
D O I
10.1212/WNL.56.1.107
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Hypertrophic chronic pachymeningitis (HCP) is a rare disorder that causes intracranial or spinal thickening of the dura mater. This report describes a patient with progressive HCP in the craniocervical region associated with signs of rheumatic disease. A ventricular-atrial shunt had to be inserted because of increased intracranial pressure. The patient improved after suboccipital craniotomy, C1 to C6 laminectomy, and removal of the thickened dura. Additional therapy with methotrexate stopped progression, which was documented by MRI and PET.
引用
收藏
页码:107 / 109
页数:3
相关论文
共 10 条
[1]   IDIOPATHIC CHRONIC HYPERTROPHIC CRANIOCERVICAL PACHYMENINGITIS - CASE-REPORT [J].
BOTELLA, C ;
OROZCO, M ;
NAVARRO, J ;
RIESGO, P .
NEUROSURGERY, 1994, 35 (06) :1144-1149
[2]  
GUTIERREZURENA S, 1995, CLIN EXP RHEUMATOL, V13, P281
[3]   Sarcoidosis - Recognition and treatment guidelines [J].
Kaye, O ;
Ribbens, C ;
Kahn, MF ;
Malaise, MG .
BIODRUGS, 1997, 7 (06) :441-447
[4]   IDIOPATHIC HYPERTROPHIC CRANIAL PACHYMENINGITIS - REPORT OF 3 CASES [J].
MAMELAK, AN ;
KELLY, WM ;
DAVIS, RL ;
ROSENBLUM, ML .
JOURNAL OF NEUROSURGERY, 1993, 79 (02) :270-276
[5]   CRANIAL PACHYMENINGITIS OF UNKNOWN ORIGIN - A STUDY OF 7 CASES [J].
MASSON, C ;
HENIN, D ;
HAUW, JJ ;
REY, A ;
RAVERDY, P ;
MASSON, M .
NEUROLOGY, 1993, 43 (07) :1329-1334
[6]   HYPERTROPHIC SPINAL PACHYMENINGITIS [J].
MIKAWA, Y ;
WATANABE, R ;
HINO, Y ;
HIRANO, K .
SPINE, 1994, 19 (05) :620-625
[7]  
OKIMURA Y, 1991, Neurological Surgery, V19, P259
[8]   ''Idiopathic'' cranial hypertrophic pachymeningitis responsive to antituberculous therapy: Case report [J].
Parney, IF ;
Johnson, ES ;
Allen, PBR .
NEUROSURGERY, 1997, 41 (04) :965-971
[9]  
Yamashita Kohsuke, 1994, Neurologia Medico-Chirurgica, V34, P100, DOI 10.2176/nmc.34.100
[10]  
YUH WTC, 1990, AM J NEURORADIOL, V11, P1247