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Idiopathic Hypertrophic Spinal Pachymeningitis: A Case Report
Lucas Lodomiro Araújo Melo1,2, Murilo Tavares Daher1,2, Marcus Vinícius Magno Gonçalves3
1Faculdade de Medicina, Departamento de Ortopedia, Universidade Federal de Goiás, Goiânia, GO, Brasil.
Abstract:
Idiopathic hypertrophic pachymeningitis is rare cause of neurological symptoms with myelopathy due to spinal cord compression. We report a case of pachymeningitis, which was manifested primarily by tetraparesis after low-energy trauma and recurrence the myelopathy symptoms after 5 years of surgery. The patient, a 19-year-old woman, was subjected to extensive investigation without evidence of any underlying disease. A meningeal biopsy was performed and showed an unspecific inflammatory process with extensive fibrosis of the dura mater. These findings, associated with the exclusion of other causes, suggest idiopathic hypertrophic pachymeningitis.
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