Bright Meninges; Dim Doctors (Mastoid BX 40X)

Update item information
Identifier walsh_2005_s3_c4_Mastoid_BX_40X_April_2_04
Title Bright Meninges; Dim Doctors (Mastoid BX 40X)
Creator Valérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of Medicine
Subject Meningitis; Granuloma; Plasma Cell; Sinus Thrombosis; Intracranial; Papilledema
Presenting Symptom Headaches; Diplopia
History A 32-year old male with headache and diplopia.
Clinical VA: 20/20-2 OD, 20/30-2 OS; Color plates: 14/14 OU
Neuroimaging MRI
Pathology Fibroblastic proliferation with mixed inflammatory cell infiltrates consistent with inflammatory pseudotumor.
Disease/Diagnosis Intracranial inflammatory pseudotumor; Idiopathic hypertrophic pachymeningitis
Treatment Steroids; Immunosupressive agents
References 1. Mahr MA, Salomao DR, Garrity JA. Inflammatory orbital pseudotumor with extension beyond the orbit. Am J Ophthalmol 2004; 138: 396-400. 2. Kupersmith MJ, Martin V, Heller G, Shah A, Mitnick HJ. Idiopathic hypertrophic pachymeningitis. Neurology 2004; 62: 686-94. 3. Goyal M, Malik A, Mishra NK, Gaikwad SB. Idiopathic hypertrophic pachymeningitis: spectrum of the disease. Neuroradiology 1997; 39: 619-623. 4. Vender JR, Rupkalvis R, Peterson P, Little BW, Gennarelli TA. Extensive subdural mass. J Neuroimaging 2001; 11: 76-80. 5. Hausler M, Schaade L, Ramaekers VT, Doenges M, Heimann G, Sellhaus B. Inflammatory pseudotumors of the central nervous system: report of 3 cases and a literature review. Hum Pathol 2003; 34: 253-62. 6. Brandsma D, Jansen GH, Spliet W, Van Nielen K, Taphoorn MJ. The diagnostic difficulties of meningeal and intracerebral plasma cell granulomas - presentation of three cases. J Neurol 2003; 250: 1302-6. 7. Kodsi SR, Younge BR, Leavitt JA, Campbell RJ, Scheithauer BW. Intracranial plasma cell granuloma presenting as an optic neuropathy. Surv Ophthalmol 1993; 38: 70-74.
Relation is Part of Case 4, Session III, Walsh Session, NANOS 2005; walsh_2005_s3_c4
Contributor Secondary Sachin Kedar, M.D.; Stephen Hunter, M.D.; Nancy J. Newman, M.D.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Type Image
Format image/jpeg
Source 31st Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit:
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Language eng
ARK ark:/87278/s6r49tfw
Setname ehsl_novel_fbw
Date Created 2005-12-05
Date Modified 2011-08-11
ID 177426
Reference URL