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[Cranial pachymeningitis or unknown origin]
M Bregigeon1, C Brosset, P Dano
1Service de Neurologie de l'H.I.A. Laveran, Marseille.
Revue Neurologique
|October 17, 1998
Abstract:
Pachymeningitis of unknown origin is uncommon and is usually associated with headaches, cranial nerve lesions and cerebellar ataxia. Magnetic resonance imaging is particularly contributive to diagnosis. The default diagnosis must however be confirmed by brain biopsy. Treatment is not well defined. Basically, corticosteroid therapy, or immunosuppressive therapy in case of failure, is known to have little effect on the brain lesion. We report here a case characterized by headache associated with partial regression of the radiographic lesions.