RESUMO
Idiopathic hypertrophic pachymeningitis is an extremely rare entity. It usually affects cranial meninges. The spinal form is further uncommon and presents as a chronic progressive disease. We describe a 42 year old female with isolated idiopathic hypertrophic cervical pachymeningitis who had a relapsing remitting course under observation for five years. Laminectomy and immunosuppressive therapy produced temporary and partial relief. The long term course and relevant literature is reviewed.
Assuntos
Adulto , Anti-Inflamatórios/uso terapêutico , Azatioprina/uso terapêutico , Vértebras Cervicais , Dura-Máter/patologia , Feminino , Seguimentos , Humanos , Hipertrofia , Imunossupressores/uso terapêutico , Índia , Imageamento por Ressonância Magnética , Meningite/tratamento farmacológico , Prednisolona/uso terapêuticoRESUMO
Neurenteric cysts are very rare, particularly in adults. These are congenital intraspinal cysts of endodermal origin. A 67 years old man, presenting with backache and paraesthesiae of one and half years' duration, followed by subacute flaccid paraplegia, developing in a week is described. MRI revealed intramedullary cyst at T7. He underwent emergency thoracic laminectomy and complete excision of the cyst. Histopathology confirmed a neurenteric cyst. In view of their rarity, peculiarity in terms of age, location and presentation, we report this case.