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Child's Nervous System

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01-07-2015 | Case-Based Update

Hypertrophic pachymeningitis

Authors: Tomasz Dziedzic, Jakub Wojciechowski, Arkadiusz Nowak, Andrzej Marchel

Published in: Child's Nervous System | Issue 7/2015

Abstract

Background

Hypertrophic pachymeningitis (HP) is a rare clinical entity characterized by diffuse or localized fibrous thickening of the dura mater. It is well known but rare especially in pediatric population disease of differing origins. The primary (idiopathic) form is diagnosed after excluding other possible etiologies. Similar results from magnetic resonance imaging (MRI) for patients with hypertrophic pachymeningitis and meningiomas may make the diagnosis confusing. Additionally, making a proper diagnosis without histological sampling can be difficult in some cases.

Case description

We present a case of an 18-year-old boy diagnosed with hypertrophic pachymeningitis in the area of the hypoglossal canal. The diagnosis was made after a 2-month history of hypoglossal nerve palsy and dysphagia preceded by a middle ear infection. The patient was treated surgically with suspicion of meningioma, but no evidence of a tumor was found during the operation. The postoperative period was uneventful. At the latest check-up, MRI revealed regression of all previously observed pathological changes.

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Title: Hypertrophic pachymeningitis
Authors: Tomasz Dziedzic
Jakub Wojciechowski
Arkadiusz Nowak
Andrzej Marchel
Publication date: 01-07-2015
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 7/2015
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-015-2680-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Hypertrophic pachymeningitis

Abstract

Background

Case description

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case description

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