title: See no evil, hear no evil….
abstract: A 32-year-old woman presented with right-sided visual loss, hearing loss and diffuse headache. Examination confirmed CN-II, V1/2, and VIII neuropathies. MRI showed an infiltrative skull-base process involving the pachymeninges. Serology and histopathology confirmed idiopathic hypertrophic pachymeningitis.
authors.affiliation: Wills Eye Institute, Philadelphia, Pennsylvania, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Driscoll
authors.affiliation: Skull Base Division, Neuro-Ophthalmology Service, Wills Eye Institute, Philadelphia, Pennsylvania, USA. Electronic address: amurchison@willseye.org.
authors.forename: Ann P
authors.initials: AP
authors.lastname: Murchison
authors.affiliation: Skull Base Division, Neuro-Ophthalmology Service, Wills Eye Institute, Philadelphia, Pennsylvania, USA.
authors.forename: Jurij R
authors.initials: JR
authors.lastname: Bilyk
mesh_terms: D000328:Adult; D005260:Female; D006261:Headache / Q000175:diagnosis; D006319:Hearing Loss, Sensorineural / Q000209:etiology*; D006801:Humans; D009901:Optic Nerve Diseases / Q000175:diagnosis*; D020433:Trigeminal Nerve Diseases / Q000175:diagnosis*; D000160:Vestibulocochlear Nerve Diseases / Q000175:diagnosis*; D014786:Vision Disorders / Q000209:etiology*
keywords: MRI; biopsy; corticosteroids; cranial neuropathy; hearing-loss; idiopathic hypertrophic pachymeningitis; optic neuropathy; skull base