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Hypertrophic Pachymeningitis as a Potential Cause of Headache Associated with Temporal Arteritis

Shin-Ichi Tokushige1, Hiroyoshi Matsuura, Takuto Hideyama

  • 1Department of Neurology, Tokyo Teishin Hospital, Japan.

Internal Medicine (Tokyo, Japan)
|March 4, 2016
PubMed

Insights

This case study highlights a rare association between temporal arteritis and hypertrophic pachymeningitis. The findings suggest hypertrophic pachymeningitis could cause headaches in patients with temporal arteritis.

Area of Science:

  • Neurology
  • Rheumatology
  • Vascular Medicine

Background:

  • Temporal arteritis (giant cell arteritis) is a vasculitis affecting medium and large arteries.
  • Hypertrophic pachymeningitis involves inflammation and thickening of the dura mater.
  • The co-occurrence of these two conditions is exceptionally rare.

Observation:

  • An 81-year-old male presented with a month-long right temporal headache.
  • Temporal artery biopsy confirmed temporal arteritis.
  • Brain MRI revealed hypertrophic pachymeningitis affecting the right frontal and temporal dura.

Findings:

  • The patient's headache resolved with corticosteroid treatment.
  • This case suggests a potential link between hypertrophic pachymeningitis and ipsilateral temporal headaches in temporal arteritis patients.

Implications:

  • Clinicians should consider hypertrophic pachymeningitis in patients with temporal arteritis presenting with headaches.
  • Further research is warranted to understand the pathophysiology of this rare association.
  • Prompt diagnosis and treatment can alleviate symptoms and prevent complications.

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