"Idiopathic" cranial hypertrophic pachymeningitis responsive to antituberculous therapy: case report.

@article{Parney1997IdiopathicCH,
  title={"Idiopathic" cranial hypertrophic pachymeningitis responsive to antituberculous therapy: case report.},
  author={Ian F. Parney and Edward S. Johnson and P B Allen},
  journal={Neurosurgery},
  year={1997},
  volume={41 4},
  pages={965-71}
}
OBJECTIVE AND IMPORTANCE We present a case similar to previously described cases of idiopathic hypertrophic cranial pachymeningitis. However, our patient responded to antituberculous therapy. This raises the possibility that some cases of "idiopathic" hypertrophic cranial pachymeningitis may represent occult tuberculous disease. CLINICAL PRESENTATION A 55-year-old woman presented with a right fourth nerve palsy and a 5-month history of headaches. Magnetic resonance imaging with gadolinium… CONTINUE READING

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Magnetic resonance imaging with gadolinium revealed thick enhancing dura on the right half of the tentorium cerebelli , with edema of the adjacent midbrain , pons , and cerebral peduncle .
Magnetic resonance imaging with gadolinium revealed thick enhancing dura on the right half of the tentorium cerebelli , with edema of the adjacent midbrain , pons , and cerebral peduncle .
Cerebral PeduncleAnatomic structure is physical part ofMidbrain structure
Magnetic resonance imaging with gadolinium revealed thick enhancing dura on the right half of the tentorium cerebelli , with edema of the adjacent midbrain , pons , and cerebral peduncle .
Magnetic resonance imaging with gadolinium revealed thick enhancing dura on the right half of the tentorium cerebelli , with edema of the adjacent midbrain , pons , and cerebral peduncle .
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