Hypertrophic cranial pachymeningitis with spinal epidural granulomatous lesion.
A 67-year-old woman with a one-year history of tinnitus and headache had multiple cranial nerve palsies of V, VII, VIII, IX, X, XI and spastic paraparesis. She also had a secretory otitis media. Gd-DTPA-enhanced magnetic resonance imaging (MRI) revealed hypertrophy of the dura of the posterior fossa and spinal epidural mass which extended from C7 to T10. A biopsy of the epidural mass showed chronic granulomatous change. These lesions were completely cured with administration of antibiotics. We believe this case of double-lesion of hypertrophic cranial pachymeningitis and spinal epidural granulomatous lesion originated from a bacterial infection secondary to the secretory otitis media.
Adachi
M
M
Department of Neurology, University of Tsukuba, Ibaraki.
Hayashi
A
A
Ohkoshi
N
N
Nagata
H
H
Mizusawa
H
H
Shoji
S
S
Tabei
F
F
Matsumura
A
A
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006105:Granulomatous Disease, Chronic / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D016920:Meningitis, Bacterial / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D010034:Otitis Media with Effusion / Q000150:complications / Q000188:drug therapy
D000900:Anti-Bacterial Agents