[Pachymeningitis associated with probable Horton's disease: a case report].
BACKGROUND
Horton's disease is the most common vasculitis of elder people. Several neurological complications are reported, but pachymeningitis is exceptional.


METHODS
A 71-year-old patient who presented headache, hyperesthesia of the scalp, weight loss with a biological inflammatory syndrome and meningeal thickening on MRI. The diagnosis of pachymeningitis related to Horton's disease was retained. The patient was treated by corticosteroids with a good clinical, biological and radiological course after 22 months.


CONCLUSIONS
Horton's disease is a potential diagnosis in elderly persons with pachymeningitis and inflammatory syndrome.
Ait Benhaddou
E
E
Service de neurologie B et de neurogénitique, Rabat institut, hôpital des Spécialités, BP 6402, Rabat, Maroc. elaitbenha@yahoo.fr
Zinebi
A
A
Elhassani
M
M
Raissouni
L
L
Elhassani
M R
MR
Benomar
A
A
Yahyaoui
M
M
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000368:Aged; D004388:Dura Mater / Q000473:pathology; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000188:drug therapy; D006261:Headache / Q000209:etiology; D006801:Humans; D006941:Hyperesthesia / Q000188:drug therapy / Q000209:etiology; D007249:Inflammation / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008578:Meninges / Q000033:anatomy & histology / Q000187:drug effects / Q000473:pathology; D008581:Meningitis / Q000209:etiology; D012535:Scalp / Q000503:physiopathology
D000305:Adrenal Cortex Hormones