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5.
Rev Neurol ; 41(1): 34-6, 2005.
Artigo em Espanhol | MEDLINE | ID: mdl-15999328

RESUMO

INTRODUCTION: Idiopathic hypertrophic cranial pachymeningitis (IHCP) is a rare and little known form of chronic inflammation of the dura mater, the pathogenesis of which remains unclear. CASE REPORT: We report the case of a 77-year-old male who was admitted to hospital after suffering a stroke; following the findings in the MR imaging, the patient was diagnosed as having IHCP. Treatment with corticoids led to an improvement in the patient's condition both clinically and radiologically. CONCLUSIONS: IHCP produces a non-nodular diffuse dural thickening that is hypointense with respect to the brain parenchyma in all the MRI sequences with intravenous contrast enhancement.


Assuntos
Meningite , Trombose Venosa/complicações , Idoso , Humanos , Imunossupressores/uso terapêutico , Imageamento por Ressonância Magnética , Masculino , Meningite/diagnóstico , Meningite/tratamento farmacológico , Meningite/etiologia , Meningite/patologia , Trombose Venosa/patologia
6.
Rev. neurol. (Ed. impr.) ; 41(1): 34-36, 1 jul., 2005. ilus
Artigo em Es | IBECS | ID: ibc-039015

RESUMO

Introducción. La paquimeningitis hipertrófica cranealidiopática (PHCI) es una forma rara y poco conocida de inflamacióncrónica de la duramadre, cuya patogenia permanece sin aclarar.Caso clínico. Se trata de un varón de 77 años de edad, ingresadopor un ictus y que, tras los hallazgos de la RM, fue diagnosticadode PHCI. Tras un tratamiento con corticoides mejoró clínica yradiológicamente. Conclusión. La PHCI produce un engrosamientodural difuso no nodular, hipointenso con respecto al parénquimacerebral en todas las secuencias de RM, con captación de contrasteintravenoso


Introduction. Idiopathic hypertrophic cranial pachymeningitis (IHCP) is a rare and little known form of chronicinflammation of the dura mater, the pathogenesis of which remains unclear. Case report. We report the case of a 77-year-oldmale who was admitted to hospital after suffering a stroke; following the findings in the MR imaging, the patient wasdiagnosed as having IHCP. Treatment with corticoids led to an improvement in the patient’s condition both clinically andradiologically. Conclusions. IHCP produces a non-nodular diffuse dural thickening that is hypointense with respect to thebrain parenchyma in all the MRI sequences with intravenous contrast enhancement


Assuntos
Masculino , Idoso , Humanos , Meningite/diagnóstico , Meningite/tratamento farmacológico , Meningite/etiologia , Meningite/patologia , Trombose Venosa/complicações , Imunossupressores/uso terapêutico , Imageamento por Ressonância Magnética
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