Idiopathic hypertrophic cervical pachymeningitis: a case report with 5 year follow up.
Idiopathic hypertrophic pachymeningitis is an extremely rare entity. It usually affects cranial meninges. The spinal form is further uncommon and presents as a chronic progressive disease. We describe a 42 year old female with isolated idiopathic hypertrophic cervical pachymeningitis who had a relapsing remitting course under observation for five years. Laminectomy and immunosuppressive therapy produced temporary and partial relief. The long term course and relevant literature is reviewed.
Department of Neurology, Grant Medical College and Sir JJ Group of Hospitals, Mumbai.
S V
SV
Khadilkar
K
K
Menezes
H N
HN
Parekh
M
M
Ursekar
S N
SN
Bhagwati
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001379:Azathioprine / Q000627:therapeutic use; D002574:Cervical Vertebrae; D004388:Dura Mater / Q000473:pathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007194:India; D008279:Magnetic Resonance Imaging; D008581:Meningitis / Q000188:drug therapy / Q000473:pathology*; D011239:Prednisolone / Q000627:therapeutic use
D000893:Anti-Inflammatory Agents; D007166:Immunosuppressive Agents; D011239:Prednisolone; D001379:Azathioprine