[Cranial pachymeningitis or unknown origin].
Pachymeningitis of unknown origin is uncommon and is usually associated with headaches, cranial nerve lesions and cerebellar ataxia. Magnetic resonance imaging is particularly contributive to diagnosis. The default diagnosis must however be confirmed by brain biopsy. Treatment is not well defined. Basically, corticosteroid therapy, or immunosuppressive therapy in case of failure, is known to have little effect on the brain lesion. We report here a case characterized by headache associated with partial regression of the radiographic lesions.
Service de Neurologie de l'H.I.A. Laveran, Marseille.
M
M
Bregigeon
C
C
Brosset
P
P
Dano
D001706:Biopsy; D001921:Brain / Q000473:pathology*; D001927:Brain Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D003366:Cosyntropin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004569:Electroencephalography; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006261:Headache / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008581:Meningitis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use
D005938:Glucocorticoids; D003366:Cosyntropin; D011239:Prednisolone
Pachyméningite crânienne de cause indéterminée.