Idiopathic hypertrophic cranial pachymeningitis presenting with headache.
Idiopathic hypertrophic cranial pachymeningitis is a rare inflammatory disease, usually involving the dura mater of skull base, tentorium, and falx. Chronic headache is the most common clinical manifestations. We report a case of idiopathic hypertrophic cranial pachymeningitis that was, initially, misdiagnosed as acute subdural hematoma along the tentorium cerebelli and posterior falx on the brain precontrast CT scan of a patient with severe headache. Correct diagnosis of pachymeningitis was made only after brain magnetic resonance imaging and meningeal biopsy.
Department of Neurosurgery, Dongguk University Hospital, Gyeonggi-do, Korea.
So-Hyang
SH
Im
Keun-Tae
KT
Cho
Hyung Suk
HS
Seo
Jong-Sun
JS
Choi
D000368:Aged; D001799:Blood Sedimentation; D002097:C-Reactive Protein / Q000378:metabolism; D006261:Headache / Q000150:complications* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008581:Meningitis / Q000150:complications* / Q000175:diagnosis*; D015898:Tomography Scanners, X-Ray Computed
D002097:C-Reactive Protein