Idiopathic hypertrophic cranial pachymeningitis.

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Title Journal of Neuro-Ophthalmology, June 1993, Volume 13, Issue 2
Date 1993-06
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6k96dm6
Setname ehsl_novel_jno
ID 225875
Reference URL https://collections.lib.utah.edu/ark:/87278/s6k96dm6

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Title Idiopathic hypertrophic cranial pachymeningitis.
Creator Hamilton, S.R.; Smith, C.H.; Lessell, S.
Affiliation Division of Neurology, University of Washington, Seattle.
Abstract We evaluated 3 patients with biopsy-proven hypertrophic cranial pachymeningitis apparently unrelated to any systemic disease. Each patient had chronic headache, cranial neuropathy, an elevated ESR, and a mild CSF pleocytosis. Neuro-ophthalmic findings included bilateral sixth nerve palsies in two patients and the third had bilateral optic neuropathies. MR imaging revealed thickened dura that enhanced with Gd-DTPA administration. Histologic examination showed thickened, fibrotic dura with a sterile, chronic, nongranulomatous inflammation. The response to treatment was variable with corticosteroids, immunosuppressive drugs, or radiation. The distinctive MR appearance should help physicians recognize this rarely reported disease.
Subject Abdducens Nerve; Adult; Older people; Contrast Media; Cranial Nerve Diseases; Dura Mater; Encephalitis; Female; Gadolinium; Gadolinium DTPA; Headache; Humans; Hypertrophy; Magnetic Resonance Imaging; Male; Middle Older people; Optic Nerve Diseases; Organometallic Compounds; Paralysis; Pentetic Acid
OCR Text Show
Format application/pdf
Publication Type Journal Article
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
Setname ehsl_novel_jno
ID 225864
Reference URL https://collections.lib.utah.edu/ark:/87278/s6k96dm6/225864
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