IgG4-related hypertrophic pachymeningitis with chronic subdural haematoma.

Autor: Lichtblau, Nicole, Aliaga-Arias, Jahard, Kalaitzoglou, Dimitrios, Bodi, Istvan, Ashkan, Keyoumars, Bhangoo, Ranj, Vergani, Francesco, Joe, Dorothy, Stanton, Biba, Galloway, James, Carlton-Jones, Lalani, Lavrador, Jose Pedro
Předmět:
Zdroj: Practical Neurology; Oct2023, Vol. 23 Issue 5, p441-445, 5p
Abstrakt: Hypertrophic pachymeningitis is a rare disorder of the dura mater of the spine or brain. It can be caused by inflammatory, infective or neoplastic conditions or can be idiopathic. We report a man with hypertrophic pachymeningitis and bilateral chronic subdural haematoma caused by IgG4- related disease. We highlight the diagnostic challenges and discuss possible underlying mechanisms of subdural haematoma formation in inflammatory conditions. Isolated IgG4- related hypertrophic pachymeningitis with chronic subdural haematoma is very rare; previously reported cases have suggested a possible predilection for men in their sixth decade, presenting with headache as the dominant symptom. Given the rarity and complexity of the condition, it should be managed in a multidisciplinary team setting. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index