雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Case of Hypertrophic Cranial Pachymeningitis Yoshitaka OKIMURA 1 , Hirokazu TANNO 1 , Hirohide KARASUDANI 1 , Sumio SUDA 1 , Junichi ONO 1 , Katsumi ISOBE 1 1Department of Neurosurgery, Kimitsu Central Hospital Keyword: Hypertrophic Cranial Pachymeningitis , CT , MRI , Decompressive surgery pp.259-262
Published Date 1991/3/10
DOI https://doi.org/10.11477/mf.1436900231
  • Abstract
  • Look Inside

Abstract

A case of hypertrophic cranial pachymeningitis was reported.

A 58-year-old female presented the symptoms of headache and vomiting. At the age of 27, she had suf-fered from tuberculosis. Neurological examination on admission revealed bilateral papilledema, bilateral hear-ing disturbance, right hypoglossal nerve palsy, ataxic gait, and bilateral intentional tremor. CT scan showed dilatation of the lateral and third ventricles, and com-pression of the fourth ventricle with marked enhance-ment of cerebellar tentorium. A ventriculoperitoneal shunt was installed bringing about improvement in bi-lateral papilledema, ataxic gait, and bilateral intentional tremor. One month later, ataxic gait and bilateral inten-tional tremor recurred, and monoparesis of the left up-per extremity developed. MRI demonstrated hyper-trophic dura mater in the posterior fossa and compress-ed cervical spinal cord. Decompressive surgery was per-formed bringing about remarkable clinical improve-ment. The pathological specimen showed thickening of the dura mater with concentric layers of dense fibrous tissue infiltrated with plasma cells. A diagnosis of hypertrophic cranial pachymeningitis was established. Three years later, the clinical features were found un-changed, but contrast enhancement of cerebellar tentor-ium had progressed markedly.

Hypertrophic pachymeningitis is a uncommon dis-ease. But it should be noted that intracranial involve-ment is very rare. The etiology, symptomatology, neuroradiology, and treatment are discussed and the literature is reviewed.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有