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Pachymeningitis With Dural Vessel Dilatation in MOG Antibody-Associated Disease: A Case Report
Yunchen Huang1, Yafei Song1, Ding Liu2
1Department of Radiology, The Third Xiangya Hospital, Central South University, Changsha, China.
Background:
Myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease (MOGAD) is a novel inflammatory demyelinating disorder marked by heterogenous clinical and radiological manifestations. Pachymeningitis is a rare manifestation.
Case Presentation:
An 18-year-old male was hospitalized with fever, dizziness, altered consciousness, and seizure attacks. Serum testing was positive for MOG antibodies. Diffuse pachymeningitis with prominent dural vessel dilation was observed prior to treatment, which markedly improved after hormone therapy.
Conclusion:
MOGAD pachymeningitis with dural vessel dilatation broadens the imaging spectrum of MOGAD.
Insights
Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) can cause rare pachymeningitis. This case highlights dural vessel dilation as a key imaging feature in MOGAD pachymeningitis.
Area of Science:
- Neurology
- Immunology
- Radiology
Background:
- Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is an inflammatory demyelinating disorder with diverse clinical and imaging features.
- Pachymeningitis, inflammation of the dura mater, is an uncommon manifestation of MOGAD.
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