Skip to main content
Top
Published in: Neurosurgical Review 3/2004

01-07-2004 | Original Article

Idiopathic intracranial hypertrophic pachymeningitis: two case reports and review of the literature

Authors: Giancarlo D’Andrea, Giuseppe Trillò, Paolo Celli, Raffaelino Roperto, Francesco Crispo, Luigi Ferrante

Published in: Neurosurgical Review | Issue 3/2004

Login to get access

Abstract

In 1949, Naffziger et al. first described idiopathic intracranial hypertrophic pachymeningitis (IIHP) as an aseptic, diffuse inflammatory disease that causes thickening of the dura mater and often headache and progressive multiple nerve palsies due to fibrous entrapment or ischemic damage of neurovascular structures. Pachymeningeal thickening can be diffuse or nodular. We report two cases of IIHP; one was affected by diffuse IIHP, while the other presented focal IIHP mimicking a convexity meningioma. We examine the differential diagnosis between IIHP and other known causes of hypertrophic pachymeningitis. We also discuss the clinical bases of treatment.
Literature
1.
go back to reference Hatano N, Behari S, Nagatani T, Kimura M, Ooka K, Saito K, Yoshida J (1999) Idiopathic hypertrophic cranial pachymeningitis: clinicoradiological spectrum and therapeutic options. Neurosurgery 45:1336–1344 Hatano N, Behari S, Nagatani T, Kimura M, Ooka K, Saito K, Yoshida J (1999) Idiopathic hypertrophic cranial pachymeningitis: clinicoradiological spectrum and therapeutic options. Neurosurgery 45:1336–1344
2.
go back to reference Nishioka H, Ito H, Haraoka J, Yamada Y, Nojima H (1998) Idiopathic hypertrophic cranial pachymeningitis with accumulation of Tallium-201 on single photon emission CT. Am J Neuroradiol 19:450–453 Nishioka H, Ito H, Haraoka J, Yamada Y, Nojima H (1998) Idiopathic hypertrophic cranial pachymeningitis with accumulation of Tallium-201 on single photon emission CT. Am J Neuroradiol 19:450–453
3.
go back to reference Deprez M, Born J, Hauwaert C, Otto B (1997) Idiopathic hypertrophic cranial pachymeningitis mimicking multiple meningiomas: case report and review of the literature. Acta Neuropathol 94:385–389CrossRef Deprez M, Born J, Hauwaert C, Otto B (1997) Idiopathic hypertrophic cranial pachymeningitis mimicking multiple meningiomas: case report and review of the literature. Acta Neuropathol 94:385–389CrossRef
4.
go back to reference Bang OY, Kim DI, Yoon SR, Choi IS (1998) Idiopathic hypertrophic pachymeningeal lesions. Eur Neurol 39:49–56CrossRef Bang OY, Kim DI, Yoon SR, Choi IS (1998) Idiopathic hypertrophic pachymeningeal lesions. Eur Neurol 39:49–56CrossRef
5.
go back to reference Parney IF, Johnson ES, Allen PBR (1997) Idiopathic cranial hypertrophic pachymeningitis responsive to antituberculous therapy: case report. Neurosurgery 41:965–971 Parney IF, Johnson ES, Allen PBR (1997) Idiopathic cranial hypertrophic pachymeningitis responsive to antituberculous therapy: case report. Neurosurgery 41:965–971
6.
go back to reference Berger JR, Snodgras S, Glaser J, Post MJD, Noremberg M, Benedetto P (1989) Multifocal fibrosclerosis with hypertrophic intracranial pachymeningitis. Neurology 39:1345–1349PubMed Berger JR, Snodgras S, Glaser J, Post MJD, Noremberg M, Benedetto P (1989) Multifocal fibrosclerosis with hypertrophic intracranial pachymeningitis. Neurology 39:1345–1349PubMed
7.
go back to reference Kobayashi N, Hongo K, Kawauchi M, Kobayashi S, Sugita K (1985) Chronic meningitis with marked unilateral tentorial pachymeningitis. Surg Neurol 23:529–535PubMed Kobayashi N, Hongo K, Kawauchi M, Kobayashi S, Sugita K (1985) Chronic meningitis with marked unilateral tentorial pachymeningitis. Surg Neurol 23:529–535PubMed
8.
go back to reference Mamelak AN, Kelly WM, Davis RL (1993) Idiopathic hypertrophic cranial pachymeningitis. Report of three cases. J Neurosurg 79:270–276PubMed Mamelak AN, Kelly WM, Davis RL (1993) Idiopathic hypertrophic cranial pachymeningitis. Report of three cases. J Neurosurg 79:270–276PubMed
9.
go back to reference Masson C, Henin D, Decroix JP, Martin N, Cambier J, Masson M (1989) Pachyméningites craniennes de cause indéterminée: étude de trois cas. Rev Neurol (Paris) 145:16–23 Masson C, Henin D, Decroix JP, Martin N, Cambier J, Masson M (1989) Pachyméningites craniennes de cause indéterminée: étude de trois cas. Rev Neurol (Paris) 145:16–23
10.
go back to reference Michel D, Girard PF, Tommasi M, Masson R, Trillet M, Piccinali JP (1969) Les pachyméningites granulomateuses intra-craniennes à symptomatologie pseudotumorale. A propos de 4 observations. J Med Lyon 50:547–577 Michel D, Girard PF, Tommasi M, Masson R, Trillet M, Piccinali JP (1969) Les pachyméningites granulomateuses intra-craniennes à symptomatologie pseudotumorale. A propos de 4 observations. J Med Lyon 50:547–577
11.
go back to reference Murai H, Kira J, Kobayashi T, Goto I, Inoue H, Hasuo K (1992) Hypertrophic cranial pachymeningitis due to Aspergillus flavus. Clin Neurol Neurosurg 94:247–250CrossRefPubMed Murai H, Kira J, Kobayashi T, Goto I, Inoue H, Hasuo K (1992) Hypertrophic cranial pachymeningitis due to Aspergillus flavus. Clin Neurol Neurosurg 94:247–250CrossRefPubMed
12.
go back to reference Naffziger HC, Stern WE (1949) Chronic pachymeningitis: report of a case and review of the literature. Arch Neurol Psychiatry 62:383–404 Naffziger HC, Stern WE (1949) Chronic pachymeningitis: report of a case and review of the literature. Arch Neurol Psychiatry 62:383–404
13.
go back to reference Goyal M, Lalik A, Mishara NK, Gaikwad SB (1997) Idiopathic hypertrophic pachymeningitis: spectrum of the disease. Neuroradiology 39:619–623CrossRefPubMed Goyal M, Lalik A, Mishara NK, Gaikwad SB (1997) Idiopathic hypertrophic pachymeningitis: spectrum of the disease. Neuroradiology 39:619–623CrossRefPubMed
14.
go back to reference Feringa ER, Weatherbee L (1975) Hypertrophic granulomatous cranial pachymeningitis causing progressive blindness in a chronic dialysis patient. J Neurol Neurosurg Psychiatry 38:1170–1176PubMed Feringa ER, Weatherbee L (1975) Hypertrophic granulomatous cranial pachymeningitis causing progressive blindness in a chronic dialysis patient. J Neurol Neurosurg Psychiatry 38:1170–1176PubMed
15.
go back to reference Kadoya C, Soejima T, Yamada H, Yokota A (1993) Pachymeningoencephalitis: case report. Neurosurgery 33:131–135PubMed Kadoya C, Soejima T, Yamada H, Yokota A (1993) Pachymeningoencephalitis: case report. Neurosurgery 33:131–135PubMed
16.
go back to reference Willing SJ, Broghamer W (1992) Internal carotid artery occlusion due to idiopathic cranial pachymeningitis. AJNR 13:1594, 1596 Willing SJ, Broghamer W (1992) Internal carotid artery occlusion due to idiopathic cranial pachymeningitis. AJNR 13:1594, 1596
17.
go back to reference Botella C, Orozco M, Navarro J, Riesgo P (1994) Idiopathic chronic hypertrophic craniocervical pachymeningitis: case report. Neurosurgery 35:1144–1149PubMed Botella C, Orozco M, Navarro J, Riesgo P (1994) Idiopathic chronic hypertrophic craniocervical pachymeningitis: case report. Neurosurgery 35:1144–1149PubMed
18.
go back to reference Nishizaki T, Iwamoto F, Uesugi S, Akimura T, Yamashita K, Ito H (1997) Idiopathic cranial pachymeningoencephalitis focally affecting the parietal dura mater and adjacent brain parenchyma: case report. Neurosurgery 40:840–843PubMed Nishizaki T, Iwamoto F, Uesugi S, Akimura T, Yamashita K, Ito H (1997) Idiopathic cranial pachymeningoencephalitis focally affecting the parietal dura mater and adjacent brain parenchyma: case report. Neurosurgery 40:840–843PubMed
19.
go back to reference Kioumehr F, Au A, Rooholamini SA, Yaghmai I, Verma R (1994) Idiopathic hypertrophic cranial pachymeningitis: a case report. Neuroradiology 36:292–294PubMed Kioumehr F, Au A, Rooholamini SA, Yaghmai I, Verma R (1994) Idiopathic hypertrophic cranial pachymeningitis: a case report. Neuroradiology 36:292–294PubMed
20.
go back to reference Masson C, Henin D, Hauw JJ, Rey A, Raverdy P, Masson M (1993) Cranial pachymeningitis of unknown origin: a study of seven cases. Neurology 43:1329–1334PubMed Masson C, Henin D, Hauw JJ, Rey A, Raverdy P, Masson M (1993) Cranial pachymeningitis of unknown origin: a study of seven cases. Neurology 43:1329–1334PubMed
21.
go back to reference Cahill DW, Salemon M (1981) Neurosarcoidosis: a review of the rare manifestations. Surg Neurol 15:204–211PubMed Cahill DW, Salemon M (1981) Neurosarcoidosis: a review of the rare manifestations. Surg Neurol 15:204–211PubMed
22.
go back to reference De Tribolet N, Zander E, Phil D (1978) Intracranial sarcoidosis presenting angiographically as a sub-dural hematoma. Surg Neurol 9:169–171PubMed De Tribolet N, Zander E, Phil D (1978) Intracranial sarcoidosis presenting angiographically as a sub-dural hematoma. Surg Neurol 9:169–171PubMed
23.
go back to reference Hayes WS, Sherman JL, Stern BJ, Citrin CM, Pulaski PD (1987) MR and CT evaluation of intracranial sarcoidosis. AJNR 8:841–847 Hayes WS, Sherman JL, Stern BJ, Citrin CM, Pulaski PD (1987) MR and CT evaluation of intracranial sarcoidosis. AJNR 8:841–847
24.
go back to reference Hamada J, Yoshinaga Y, Korogi Y, Ushio Y (2000) Idiopathic hypertrophic cranial pachymeningitis associated with a dural arteriovenous fistula involving the straight sinus: case report. Neurosurgery 47:1230–1233PubMed Hamada J, Yoshinaga Y, Korogi Y, Ushio Y (2000) Idiopathic hypertrophic cranial pachymeningitis associated with a dural arteriovenous fistula involving the straight sinus: case report. Neurosurgery 47:1230–1233PubMed
25.
go back to reference Gorrel JM, Palutke WA, Chason JL (1979) Candica pachymeningitis with multiple cranial nerve paresis. Arch Neurol 36:719–720PubMed Gorrel JM, Palutke WA, Chason JL (1979) Candica pachymeningitis with multiple cranial nerve paresis. Arch Neurol 36:719–720PubMed
26.
go back to reference Tyrrel RL II, Brundschuh CV, Modic MT (1987) Dural carcinomatosis: MR demonstration. J Comput Assist Tomogr 11:329–332PubMed Tyrrel RL II, Brundschuh CV, Modic MT (1987) Dural carcinomatosis: MR demonstration. J Comput Assist Tomogr 11:329–332PubMed
27.
go back to reference Moore AP, Rolfe EB, Jones EL (1985) Pachymeningitis cranialis hypertrophica. J Neurol Neurosurg Psychiatry 48:942–944PubMed Moore AP, Rolfe EB, Jones EL (1985) Pachymeningitis cranialis hypertrophica. J Neurol Neurosurg Psychiatry 48:942–944PubMed
28.
go back to reference Oku T, Yamashita M, Inoue T (1995) A case of posterior fossa hypertrophic pachymeningitis with hydrocephalus. No To Shinkei 47:569–573PubMed Oku T, Yamashita M, Inoue T (1995) A case of posterior fossa hypertrophic pachymeningitis with hydrocephalus. No To Shinkei 47:569–573PubMed
29.
go back to reference Nohra G, Maarrawi J, Samaha E, Rizk T, Okais N (2000) Craniospinal pachymeningitis. Acta Neurochir (Wien) 142:713–714 Nohra G, Maarrawi J, Samaha E, Rizk T, Okais N (2000) Craniospinal pachymeningitis. Acta Neurochir (Wien) 142:713–714
30.
go back to reference Takahashi M, Sasajima T, Mineura K, Itoh Y, Kowada M, Iwaya K, Hatazawa J, Ogawa T, Okudera T, Murakami M, Uemura K (1996) Positron emission tomographic evaluation for frontal hypertrophic cranial pachymeningitis using 11C-methyl-L-methionine. No Shinkei Geka 24:287–293PubMed Takahashi M, Sasajima T, Mineura K, Itoh Y, Kowada M, Iwaya K, Hatazawa J, Ogawa T, Okudera T, Murakami M, Uemura K (1996) Positron emission tomographic evaluation for frontal hypertrophic cranial pachymeningitis using 11C-methyl-L-methionine. No Shinkei Geka 24:287–293PubMed
31.
go back to reference Yunten N, Oran I, Calli C, Parildar M (1999) Hypertrophic cranial pachymeningitis involving dural sinuses: a pseudo signal-void appearance on MRI. Eur J Radiol 31:188–92CrossRefPubMed Yunten N, Oran I, Calli C, Parildar M (1999) Hypertrophic cranial pachymeningitis involving dural sinuses: a pseudo signal-void appearance on MRI. Eur J Radiol 31:188–92CrossRefPubMed
32.
go back to reference Lam BL, Barret DA, Glaser JS, Schatz NJ, Brown HH (1994) Visual loss from idiopathic intracranial pachymeningitis. Neurology 44:694–698PubMed Lam BL, Barret DA, Glaser JS, Schatz NJ, Brown HH (1994) Visual loss from idiopathic intracranial pachymeningitis. Neurology 44:694–698PubMed
33.
go back to reference Martin N, Masson C, Henin D, Dompoint D, Marsault C, Nahum H (1989) Hypertrophic cranial pachymeningitis: assessment with CT and MR imaging. AJNR 3:477–484 Martin N, Masson C, Henin D, Dompoint D, Marsault C, Nahum H (1989) Hypertrophic cranial pachymeningitis: assessment with CT and MR imaging. AJNR 3:477–484
34.
go back to reference Harada T, Ohashi T, Ohki K (1996) Optic neuropathy associated with hypertrophic cranial pachymeningitis. Br J Ophthalmol 80:574–575 Harada T, Ohashi T, Ohki K (1996) Optic neuropathy associated with hypertrophic cranial pachymeningitis. Br J Ophthalmol 80:574–575
35.
go back to reference Fujimoto M, Kira J, Murai H, Yoshimura T, Takizawa K, Goto I (1993) Hypertrophic cranial pachymeningitis associated with mixed collagen tissue disease; a comparison study with idiopathic and infectious pachymeningitis. Intern Med 32:510–512PubMed Fujimoto M, Kira J, Murai H, Yoshimura T, Takizawa K, Goto I (1993) Hypertrophic cranial pachymeningitis associated with mixed collagen tissue disease; a comparison study with idiopathic and infectious pachymeningitis. Intern Med 32:510–512PubMed
36.
go back to reference Tanaka M, Suda M, Ishikawa Y, Fujitake J, Fujii H, Tatsuoka Y (1996) Idiopathic hypertrophic cranial pachymeningitis associated with hydrocephalus and myocarditis: remarkable steroid-induced remission of hypertrophic dura mater. Neurology 46:554–556PubMed Tanaka M, Suda M, Ishikawa Y, Fujitake J, Fujii H, Tatsuoka Y (1996) Idiopathic hypertrophic cranial pachymeningitis associated with hydrocephalus and myocarditis: remarkable steroid-induced remission of hypertrophic dura mater. Neurology 46:554–556PubMed
37.
go back to reference Spurlock RG, Richman AV (1983) Rheumatoid meningitis. Arch Pathol Lab Med 107:129–131PubMed Spurlock RG, Richman AV (1983) Rheumatoid meningitis. Arch Pathol Lab Med 107:129–131PubMed
38.
go back to reference Weinstein GW, Powell SR, Thrush WP (1987) Chiasmal neuropathy secondary to rheumatoid pachymeningitis. Am J Ophthalmol 104:439–440PubMed Weinstein GW, Powell SR, Thrush WP (1987) Chiasmal neuropathy secondary to rheumatoid pachymeningitis. Am J Ophthalmol 104:439–440PubMed
39.
go back to reference West GS, Pittman DL, Coggin JT (1980) Intracranial plasma cell granuloma. Cancer 46:330–335PubMed West GS, Pittman DL, Coggin JT (1980) Intracranial plasma cell granuloma. Cancer 46:330–335PubMed
40.
go back to reference Astrom KE, Lidholm SO (1963) Extensive intracranial lesions in a case of orbital non-specific granuloma combined with polyarteritis nodosa. J Clin Pathol 16:137–143PubMed Astrom KE, Lidholm SO (1963) Extensive intracranial lesions in a case of orbital non-specific granuloma combined with polyarteritis nodosa. J Clin Pathol 16:137–143PubMed
41.
go back to reference Ghilain S, Delreux V, Kevers L, Sindic CJM, Mathurin P, Laterre EC (1988) Atteinte multiple des paires craniennes associée à une pachymeningite tentorielle à charactère granulomateux. Acta Neurol Belg 88:91–100PubMed Ghilain S, Delreux V, Kevers L, Sindic CJM, Mathurin P, Laterre EC (1988) Atteinte multiple des paires craniennes associée à une pachymeningite tentorielle à charactère granulomateux. Acta Neurol Belg 88:91–100PubMed
42.
go back to reference Nishino H, Rubino FA, Parisi JE (1993) The spectrum of neurology involvement in Wegener’s granulomatosis. Neurology 43:1334–1337PubMed Nishino H, Rubino FA, Parisi JE (1993) The spectrum of neurology involvement in Wegener’s granulomatosis. Neurology 43:1334–1337PubMed
43.
go back to reference Agdal N, Hagdrup HK, Wantzin GL (1980) Pachymeningitis cervicalis hypertrophica syphilitica. Acta Derm Venereol 60:184–186PubMed Agdal N, Hagdrup HK, Wantzin GL (1980) Pachymeningitis cervicalis hypertrophica syphilitica. Acta Derm Venereol 60:184–186PubMed
44.
go back to reference Nishio S, Morioka T, Togawa A, Yanase T, Nawata H, Fukui M, Hasuo K (1995) Spontaneous resolution of hypertrophic cranial pachymeningitis. Neurosurg Rev 18:201–204PubMed Nishio S, Morioka T, Togawa A, Yanase T, Nawata H, Fukui M, Hasuo K (1995) Spontaneous resolution of hypertrophic cranial pachymeningitis. Neurosurg Rev 18:201–204PubMed
Metadata
Title
Idiopathic intracranial hypertrophic pachymeningitis: two case reports and review of the literature
Authors
Giancarlo D’Andrea
Giuseppe Trillò
Paolo Celli
Raffaelino Roperto
Francesco Crispo
Luigi Ferrante
Publication date
01-07-2004
Publisher
Springer-Verlag
Published in
Neurosurgical Review / Issue 3/2004
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-004-0321-1

Other articles of this Issue 3/2004

Neurosurgical Review 3/2004 Go to the issue