A Clinical Report of Hypertrophic Cranial Pachymeningitis Misdiagnosed as Multi Cranial Neuritis and Literature Review
LI Ting-yi
WANG Xiao-ping
SHENG Fei
LI Wen-hui
LI Rui
Abstract：Objective To explore the etiology, clinical presentations and its diagnostic and treatment methods of hy-pertrophic cranial Pachymeningitis (HCP), so as to reduce misdiagnosis. Methods The clinical data of one HCP patient misdiagnosed as having multi cranial neuritis was respectively analyzed and the combining relevant documents were retrospec-tively reviewed. Results The patient complained of a headache for 9 months, double vision for 7 months and reduced vision and hearing for 2 months. The condition was misdiagnosed as multiple cranial neuritis in other hospitals, and the symptoms mentioned above were controlled after administration of Glucocorticoid. But in the process of reducing dose of Glucocorticoid, the patient had a relapse. The MRI of our hospital showed thickened dura mater and contrast-enhanced MRI showed typical track sign. There was non-specificity inflammatory reaction with meningeal biopsy. Finally, the patient was diagnosed as hav-ing HCP, and the condition was controlled after medication of Glucocorticoid and Immunodepressant. Conclusion The main clinical features of HCP are chronic headache, multiple cranial nerve palsy and ataxia. The reinforced scanning of MRI can show typical track sign. Meningeal biopsy is the basis of confirmed diagnosis. Glucocorticoid and Immunodepressant are the major treatment approach at the present.
Keywords：PachymeningitisDiagnostic ErrorNeuritis
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 61-64 )