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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Egyptian Spine Association
2016
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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) |
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Pachymeningitis cervical spine inflammation dura matter Neurology. Diseases of the nervous system RC346-429 |
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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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1718400120370757632 |