Idiopathic Hypertrophic Cranial Pachymeningitis Presenting with Lower Cranial Nerve Palsy Mimicking Meningioma.
- Author:
Je Yong SON
1
;
Bo Young AHN
;
Dae Seong KIM
Author Information
1. Department of Neurology, Pusan National University College of Medicine, Busan, Korea. dskim@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Pachymeningitis;
Meningioma
- MeSH:
Atrophy;
Biopsy;
Brain;
Cranial Nerve Diseases*;
Cranial Nerves*;
Diagnosis;
Diagnosis, Differential;
Dizziness;
Foramen Magnum;
Headache;
Hearing Loss;
Humans;
Magnetic Resonance Imaging;
Meningioma*;
Meningitis*;
Tinnitus;
Tongue
- From:Journal of the Korean Neurological Association
2006;24(1):79-81
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a patient with idiopathic hypertrophic cranial pachymeningitis (IHCP) who presented with headache, tinnitus, hearing loss, dizziness and tongue atrophy. She initially was misdiagnosed as having an en plaque meningioma involving the posterior fossa and foramen magnum on the basis of brain MRI findings. A meningeal biopsy excluded meningioma and a diagnosis of IHCP was made. After immune modulating treatment, the patient's symptoms gradually improved. Our case shows IHCP should be included in the differential diagnosis of meningeal mass.
