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Recurrent idiopathic hypertrophic pachymeningitis with chronic headache and cranial nerve involvement
Bünyamin Tosunoğlu1, Hafize Nalan Güneş1, Seyfi Emre Aksoy1
1Department of Neurology, Ankara Training and Research Hospital, Ankara, Turkey.
Abstract:
Idiopathic hypertrophic pachymeningitis is a rare, fibrosing inflammatory disease that causes localized or diffuse thickening of the dura mater in the brain and/or spinal cord. It may be cranial, spinal, and/or craniospinal pachymeningitis depending on the place of involvement. In our case, a 34-year-old woman presented with sixth cranial nerve involvement and headache and was diagnosed with idiopathic hypertrophic pachymeningitis as a result of the exclusion of other causes and central nervous system imaging. Clinical and radiological follow-up occurred for 1 year, and treatment is presented.
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