Idiopathic hypertrophic cranial pachymeningitis presenting with headache

So Hyang Im, Keun Tae Cho, Hyung Suk Seo, Jong Sun Choi

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Idiopathic hypertrophic cranial pachymeningitis is a rare inflammatory disease, usually involving the dura mater of skull base, tentorium, and falx. Chronic headache is the most common clinical manifestations. We report a case of idiopathic hypertrophic cranial pachymeningitis that was, initially, misdiagnosed as acute subdural hematoma along the tentorium cerebelli and posterior falx on the brain precontrast CT scan of a patient with severe headache. Correct diagnosis of pachymeningitis was made only after brain magnetic resonance imaging and meningeal biopsy.

Original languageEnglish
Pages (from-to)1232-1235
Number of pages4
JournalHeadache
Volume48
Issue number8
DOIs
Publication statusPublished - 2008 Sep
Externally publishedYes

Keywords

  • Acute subdural hematoma
  • Headache
  • Inflammation
  • Methotrexate
  • Pachymeningitis

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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