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Peruvian Journal of Neurosurgery
Pachymeningitis Granulomatous craneocervical in patient with suspected flat meningioma
Jerson Flores C. MD, William Lock Ch. MD , Alejandro Rosell O. MD, William Anicama L. MD
Abstract (Spanish) ||
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ABSTRACT
The hypertrophic pachymeningitis is a rare granulomatous disease of the dura, characterized by thickening of chronic granulomatous, which may affect, both intracranial and cervical or thoracic spine. Its etiology is unknown although it is associated with various concomitant disease, such as tuberculosis, AR, Wegener's granulomatosis, metabolic disorders, sarcoidosis, sinusitis, fungal infections or autoimmune disease. The differential diagnosis includes multiple meningiomas or meningiomas in plate and in the particular case of our patient, tuberculous pachymeningitis. Current treatment involves the initial rule out associated diseases such as tuberculosis because there are cases that have been referred to treatment for tuberculosis. In idiopathic cases, treatment is essentially surgical, in order to confirm diagnosis and to decompress the marrow cavity. We present a patient with hypertrophic pachymeningitis of granulomatous tuberculous etiology likely that ongoing with symptoms of multineuritis cranial and spinal cord compression, who underwent surgery in our hospital.
Key words: Idiopathic hypertrophic pachymeningitis, tuberculous pachymeningitis
