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- Title
Idiopathic hypertrophic spinal pachymeningitis: a case report and review of literature.
- Authors
Qin, Li-xia; Wang, Chun-yu; Hu, Zhi-ping; Zeng, Liu-wang; Tan, Li-ming; Zhang, Hai-nan
- Abstract
Purpose: To report an unusual case of idiopathic hypertrophic spinal pachymeningitis (IHSP) with a review of relevant literature and to discuss the etiology, clinical features, imaging, treatment and prognosis of IHSP. Methods: The case of a 44-year-old woman is reported. MEDLINE was used to search relevant literatures written in English since 2004. Results: The patient suffered from progressive mild thoracic backache followed by truncal and lower extremity weakness, numbness and urinary retention. The diagnosis was confirmed by magnetic resonance (MR) imaging and histopathologic examination. Although she received corticosteroid therapy and decompressive surgery, the patient suffered a rapid relapse probably because of the withdrawal of postoperative steroid therapy. Conclusions: IHSP is a rare disease characterized by inflammatory hypertrophy of the dura mater without identifiable cause and featured clinical progress of radiculalgia to myelopathy. It is a diagnosis of exclusion. In our view, surgical decompression with postoperative steroid therapy may be optimal. Furthermore,we speculated that increased levels of protein and cell count in cerebrospinal fluid (CSF) might be positively related to the disease progression. High inflammatory signs or CSF protein and cell levels before surgery or postoperative residual lesions are possible reasons of poor prognosis in patients with IHSP.
- Subjects
TREATMENT of spine diseases; PACHYMENINGITIS; ETIOLOGY of diseases; TREATMENT of diseases in women; MEDLINE; DISEASE progression; MAGNETIC resonance imaging; THERAPEUTICS
- Publication
European Spine Journal, 2015, Vol 24, p636
- ISSN
0940-6719
- Publication type
Article
- DOI
10.1007/s00586-015-3958-2