Hypertrophic chronic pachymeningitis as a localized immune process in the craniocervical region
| Autor: | K. Vass, M. Hoberstorfer, Bernhard Voller, J. Wanschitz, K. Machold, Eduard Auff, S Asenbaum |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Dura mater Muscle hypertrophy Central nervous system disease Humans Medicine Meningitis Intracranial pressure integumentary system business.industry Craniocervical region Laminectomy Hypertrophy Middle Aged medicine.disease Magnetic Resonance Imaging Cerebrospinal Fluid Shunts Shunt (medical) Surgery Skull Methotrexate medicine.anatomical_structure Chronic Disease Cervical Vertebrae Dura Mater Neurology (clinical) business Immunosuppressive Agents Tomography Emission-Computed |
| Zdroj: | Neurology. 56:107-109 |
| ISSN: | 1526-632X 0028-3878 |
| Popis: | Hypertrophic chronic pachymeningitis (HCP) is a rare disorder that causes intracranial or spinal thickening of the dura mater. This report describes a patient with progressive HCP in the craniocervical region associated with signs of rheumatic disease. A ventricular-atrial shunt had to be inserted because of increased intracranial pressure. The patient improved after suboccipital craniotomy, C1 to C6 laminectomy, and removal of the thickened dura. Additional therapy with methotrexate stopped progression, which was documented by MRI and PET. |
| Databáze: | OpenAIRE |
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