ABSTRACT
We report a patient with idiopathic hypertrophic cranial pachymeningitis (IHCP) who presented with headache, tinnitus, hearing loss, dizziness and tongue atrophy. She initially was misdiagnosed as having an en plaque meningioma involving the posterior fossa and foramen magnum on the basis of brain MRI findings. A meningeal biopsy excluded meningioma and a diagnosis of IHCP was made. After immune modulating treatment, the patient's symptoms gradually improved. Our case shows IHCP should be included in the differential diagnosis of meningeal mass.
Subject(s)
Humans , Atrophy , Biopsy , Brain , Cranial Nerve Diseases , Cranial Nerves , Diagnosis , Diagnosis, Differential , Dizziness , Foramen Magnum , Headache , Hearing Loss , Magnetic Resonance Imaging , Meningioma , Meningitis , Tinnitus , TongueABSTRACT
Bilateral sensorineural hearing loss (SNHL) is a relatively well-recognized complication of bacterial meningitis, but is a rare initial manifestation in acute cryptococcal meningitis. We report a case of cryptococcal meningitis initially presenting with bilateral SNHL. Cryptococcal meningitis should be included in the differential diagnosis of abrupt-onset bilateral SNHL.
Subject(s)
Diagnosis, Differential , Hearing Loss, Sensorineural , Meningitis, Bacterial , Meningitis, CryptococcalABSTRACT
A 47-year-old man presented with recurrent transient right hemiparesthesia and right homonymous hemianopsia. The transient ischemic attacks (TIAs) may be related to hemodynamic disturbance caused by acute occlusion of the internal carotid artery with severe stenosis of the ipsilateral posterior cerebral artery. After urgent endovascular revascularization of the internal carotid artery, there were no further attacks. Our case suggests that repetitive sensory TIAs can be induced by a hemodynamic disturbance caused by a large artery stenosis, which can be prevented with urgent endovascular treatment.