Idiopathic Chronic Hypertrophic Craniocervical PachymeningitisCase Report
作者:
Carlos Botella,
Miguel Orozco,
José Navarro,
Pedro Riesgo,
期刊:
Neurosurgery
(OVID Available online 1994)
卷期:
Volume 35,
issue 6
页码: 1144-1149
ISSN:0148-396X
年代: 1994
出版商: OVID
关键词: Cervical spine;Cranial hypertrophic pachymeningitis;Dura mater;Foramen magnum;Magnetic resonance imaging
数据来源: OVID
摘要:
A 55-YEAR-OLD WOMAN with a unique form of chronic hypertrophic pachymeningitis involving the posterior fossa and upper cervical spine is reported. Unlike other cases previously described, the clinical picture was dominated by signs of increased intracranial pressure, lower cranial nerve disorders, and a progressive cervical radiculomyelopathy. The diagnosis was made by means of a contrast-enhanced magnetic resonance imaging scan and confirmed by histological examination of the excised dura. Surgical treatment with removal of the hypertrophic dura provided temporary relief, although the natural history of the disease was not modified. Exhaustive bacteriological and histopathological studies failed to identify a specific cause for this diffuse hypertrophy of the cranial and cervical dura. The literature is reviewed, and other histologically documented cases are discussed.
返 回