[Idiopathic hypertrophic cranial pachymeningitis diagnosed after venous thrombosis].
BACKGROUND
Idiopathic hypertrophic cranial pachymeningitis (IHCP) is a rare and little known form of chronic inflammation of the dura mater, the pathogenesis of which remains unclear.


METHODS
We report the case of a 77-year-old male who was admitted to hospital after suffering a stroke; following the findings in the MR imaging, the patient was diagnosed as having IHCP. Treatment with corticoids led to an improvement in the patient's condition both clinically and radiologically.


CONCLUSIONS
IHCP produces a non-nodular diffuse dural thickening that is hypointense with respect to the brain parenchyma in all the MRI sequences with intravenous contrast enhancement.
Servicio de Radiodiagnóstico, Hospital Clinico Universitario de Salamanca, 37007 Salamanca, Spain. palomeil@hotmail.com
P
P
García-Iñigo
J C
JC
Paniagua-Escudero
F J
FJ
de Castro-García
J C
JC
Díez-Hernández
D000368:Aged; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D008581:Meningitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D020246:Venous Thrombosis / Q000150:complications* / Q000473:pathology
D007166:Immunosuppressive Agents