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Shnyakin P.G.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Regional Clinical Hospital

Isaeva N.V.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Regional Clinical Hospital

Severina M.I.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Regional Clinical Hospital

Karnaukhov D.I.

Regional Clinical Hospital

Idiopathic hypertrophic pachymeningitis

Authors:

Shnyakin P.G., Isaeva N.V., Severina M.I., Karnaukhov D.I.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(3): 114‑119

DOI: 10.17116/jnevro2024124031114

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To cite this article:

Shnyakin PG, Isaeva NV, Severina MI, Karnaukhov DI. Idiopathic hypertrophic pachymeningitis. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(3):114‑119. (In Russ.)
https://doi.org/10.17116/jnevro2024124031114

Подписка 2025 (S.S. Korsakov Journal of Neurology and Psychiatry)
 
 
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The article presents a case of idiopathic hypertrophic pachymeningitis of a 61-year-old male patient with severe cephalgia and progressive neuropathy of the oculomotor nerves. The diagnosis was confirmed by MRI with gadolinium, which revealed thickening of the dura mater with accumulation of paramagnetic in the convexital parts of the frontal and temporal regions, as well as on the base of the skull and tentorium. During the use of pulse therapy with glucocorticosteroids (GCS) the symptoms regressed, but when the therapy was stopped, there was a relapse of ptosis and oculomotor abnormalities on the other side followed by a slower effect of GCS therapy. The article also presents a brief review of current knowledge about this pathology.

Keywords:

idiopathic hypertrophic pachymeningitis
Tolosa-Hunt Syndrome
cephalalgia

Authors:

Shnyakin P.G.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Regional Clinical Hospital

Isaeva N.V.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Regional Clinical Hospital

Severina M.I.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Regional Clinical Hospital

Karnaukhov D.I.

Regional Clinical Hospital

Received:

02.06.2023

Accepted:

17.11.2023

List of references:

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  2. Huang Y, Chen J, Gui L. A case of idiopathic hypertrophic pachymeningitis presenting with chronic headache and multiple cranial nerve palsies. Medicine. 2017;96(29):e7549. https://doi.org/10.1097/md.0000000000007549
  3. Boonyawiroj S, Phanthumchinda K. Extensive anterior cranial fossa idiopathic hypertrophic pachymeningitis: a case report and review of the literature. Journal of the Medical Association of Thailand. 2005;88(12):1934-1940.
  4. Barvalia PP, Jagiasi K. Is hypertrophic pachymeningitis really idiopathic? Neurology India. 2022;70(6):2422-2426. https://doi.org/10.4103/0028-3886.364052
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  13. Holodny A, Kirsch C, Hameed M. Tumefactive fibroinflammatory lesion of the nesk with progressive invasion of meninges, skull base, orbit and brain. Am J Neuroradiol. 2001;22:876-879. 
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  17. Mendelevich EG, Fattakhova ChS, Bogdanov EI. Hypertrophic pachymeningitis: modern criteria for diagnosis and differentiation (clinical observation and literature review). Nevrologiya, Neiropsikhiatriya, Psikhosomatika. 2015;7(2):42-46. (In Russ.). https://doi.org/10.14412/2074-2711-2015-2-42-46
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