Cranio-Cervical Idiopathic Hypertrophic Pachymeningitis: A Case Report and Review of Literature

Background Data: Cranio-cervical pachymeningitis is a rare and challenging disorder. Management of this condition is still under research. Purpose: To follow a case of cranio-cervical pachymeningitis and to decide the optimal management method and factors affecting outcome and prognosis of this cond...

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Autor principal: Ahmed Elsawaf
Formato: article
Lenguaje:EN
Publicado: Egyptian Spine Association 2016
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Acceso en línea:https://doaj.org/article/8ac54da60cf34e93959e69a5dd19d58f
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spelling oai:doaj.org-article:8ac54da60cf34e93959e69a5dd19d58f2021-12-02T05:59:14ZCranio-Cervical Idiopathic Hypertrophic Pachymeningitis: A Case Report and Review of LiteratureDOI:10.21608/ESJ.2016.40142314-89502314-8969https://doaj.org/article/8ac54da60cf34e93959e69a5dd19d58f2016-07-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_4014.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Cranio-cervical pachymeningitis is a rare and challenging disorder. Management of this condition is still under research. Purpose: To follow a case of cranio-cervical pachymeningitis and to decide the optimal management method and factors affecting outcome and prognosis of this condition. Study Design: A case report following surgical result with review of literatures. Patients and Methods: A 56 years old male presented by a progressive cervical myelopathy. MRI cervical spine showed cranio-cervical hypertrophic pachymeningitis with compression on cervical cord. Surgical decompression was done with continuous postoperative clinical and radiological follow-up. Results: Significant clinical improvement was observed after surgical excision. Recurrence happened later with cessation of corticosteroids. After follow up of the patient and review of literatures; factors affecting the prognosis were determined as follow: degree of surgical decompression, continuous use of corticosteroids till full radiological improvement, and development of cranial lesions. Conclusion: Cranio-cervical pachymeningitis is a challenging disorder, management of it should be combined adequate surgical decompression, use of corticosteroids and postoperative rehabilitation program. (2016ESJ116)Ahmed ElsawafEgyptian Spine AssociationarticlePachymeningitiscervical spineinflammationdura matterNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 19, Iss 1, Pp 55-60 (2016)
institution DOAJ
collection DOAJ
language EN
topic Pachymeningitis
cervical spine
inflammation
dura matter
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Pachymeningitis
cervical spine
inflammation
dura matter
Neurology. Diseases of the nervous system
RC346-429
Ahmed Elsawaf
Cranio-Cervical Idiopathic Hypertrophic Pachymeningitis: A Case Report and Review of Literature
description Background Data: Cranio-cervical pachymeningitis is a rare and challenging disorder. Management of this condition is still under research. Purpose: To follow a case of cranio-cervical pachymeningitis and to decide the optimal management method and factors affecting outcome and prognosis of this condition. Study Design: A case report following surgical result with review of literatures. Patients and Methods: A 56 years old male presented by a progressive cervical myelopathy. MRI cervical spine showed cranio-cervical hypertrophic pachymeningitis with compression on cervical cord. Surgical decompression was done with continuous postoperative clinical and radiological follow-up. Results: Significant clinical improvement was observed after surgical excision. Recurrence happened later with cessation of corticosteroids. After follow up of the patient and review of literatures; factors affecting the prognosis were determined as follow: degree of surgical decompression, continuous use of corticosteroids till full radiological improvement, and development of cranial lesions. Conclusion: Cranio-cervical pachymeningitis is a challenging disorder, management of it should be combined adequate surgical decompression, use of corticosteroids and postoperative rehabilitation program. (2016ESJ116)
format article
author Ahmed Elsawaf
author_facet Ahmed Elsawaf
author_sort Ahmed Elsawaf
title Cranio-Cervical Idiopathic Hypertrophic Pachymeningitis: A Case Report and Review of Literature
title_short Cranio-Cervical Idiopathic Hypertrophic Pachymeningitis: A Case Report and Review of Literature
title_full Cranio-Cervical Idiopathic Hypertrophic Pachymeningitis: A Case Report and Review of Literature
title_fullStr Cranio-Cervical Idiopathic Hypertrophic Pachymeningitis: A Case Report and Review of Literature
title_full_unstemmed Cranio-Cervical Idiopathic Hypertrophic Pachymeningitis: A Case Report and Review of Literature
title_sort cranio-cervical idiopathic hypertrophic pachymeningitis: a case report and review of literature
publisher Egyptian Spine Association
publishDate 2016
url https://doaj.org/article/8ac54da60cf34e93959e69a5dd19d58f
work_keys_str_mv AT ahmedelsawaf craniocervicalidiopathichypertrophicpachymeningitisacasereportandreviewofliterature
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