Idiopathic Hypertrophic Cranial Pachymeningitis Masquerading as Tolosa-Hunt Syndrome.
10.14253/kjcn.2016.18.1.11
- Author:
Dong Hee KIM
1
;
Yun Su HWANG
;
Hak Seung LEE
;
Hyun Young PARK
Author Information
1. Department of Neurology, Wonkwang University Sanbon Medical Center, Gunpo, Korea.
- Publication Type:Case Report
- Keywords:
Pachymeningitis;
Tolosa-Hunt syndrome;
Ophthalmoplegia
- MeSH:
Brain;
Cavernous Sinus;
Dura Mater;
Headache;
Humans;
Male;
Meningitis*;
Neurologic Manifestations;
Ophthalmoplegia;
Tolosa-Hunt Syndrome*
- From:Korean Journal of Clinical Neurophysiology
2016;18(1):11-13
- CountryRepublic of Korea
- Language:English
-
Abstract:
Idiopathic hypertrophic cranial pachymeningitis (ICHP) is diffuse inflammatory process of the dura mater. ICHP can produce similar presentation with Tolosa-Hunt syndrome (THS) if it involves cavernous sinus. A-29-year old male with persistent headache and no definite neurologic dysfunction was noted. Two weeks later, he complained of ophthalmoplegia, and his symptoms were thought to be manifestations of THS. Brain magnetic resonance images revealed diffuse thickened, enhanced pachymeninges in left tentorium. The patient was diagnosed with IHCP. We report a IHCP patient who showed very similar presentation as THS.
