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Idiopathic hypertrophic cranial pachymeningitis: a case report

F Kioumehr1, S A Rooholamini, I Yaghmai

  • 1Department of Radiological Sciences, UCLA-Olive View Medical Center, Sylmar 91342.

Neuroradiology
|May 1, 1994
PubMed

Insights

Hypertrophic pachymeningitis, a rare inflammatory condition, can cause unusual symptoms. This case highlights its potential to lead to periorbital masses via dural sinus occlusion and retrograde venous filling.

Area of Science:

  • Neurology
  • Radiology
  • Pathology

Background:

  • Hypertrophic pachymeningitis is a rare fibrosing inflammatory condition affecting the dura mater and tentorium.
  • It is characterized by thickening of the meninges.

Observation:

  • This report details an unusual case of hypertrophic pachymeningitis.
  • The patient presented with a periorbital mass.

Findings:

  • Contrast-enhanced MRI revealed dural sinus occlusion as the cause of the periorbital mass.
  • Retrograde filling of periorbital veins was observed through the superior sagittal sinus.

Implications:

  • This case expands the understanding of hypertrophic pachymeningitis presentations.
  • It underscores the importance of advanced imaging in diagnosing rare neurological conditions.
  • Dural sinus occlusion can manifest with atypical symptoms like periorbital masses.

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