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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
Summary
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.