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Ann Clin Neurophysiol > Volume 18(1); 2016 > Article
CASE REPORT
Ann Clin Neurophysiol. 2016; 18(1): 11-13.
Published online June 30, 2016.
doi: https://doi.org/10.14253/kjcn.2016.18.1.11
Idiopathic Hypertrophic Cranial Pachymeningitis Masquerading as Tolosa-Hunt Syndrome
Dong Hee Kim1, Yun Su Hwang2, Hak Seung Lee2,3, and Hyun Young Park2,3
1Department of Neurology, Wonkwang University Sanbon Medical Center, Gunpo, Korea
2Department of Neurology, Wonkwang University School of Medicine, Iksan, Korea
3Institute of Wonkwang Medical Science and Regional Cardiocerebrovascular Center, Iksan, Korea
Corresponding Author: Hyun Young Park ,Tel: +82-63-859-1410, Fax: +82-63-842-7379, Email: hypppark@hanmail.net
Received December 11, 2015    Accepted May 17, 2016
Copyright © 2016 The Korean Society of Clinical Neurophysiology
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Idiopathic hypertrophic cranial pachymeningitis (ICHP) is diffuse inflammatory process of the dura mater. ICHP can produce similar presentation with Tolosa-Hunt syndrome (THS) if it involves cavernous sinus. A-29-year old male with persistent headache and no definite neurologic dysfunction was noted. Two weeks later, he complained of ophthalmoplegia, and his symptoms were thought to be manifestations of THS. Brain magnetic resonance images revealed diffuse thickened, enhanced pachymeninges in left tentorium. The patient was diagnosed with IHCP. We report a IHCP patient who showed very similar presentation as THS.
Key words: Pachymeningitis, Tolosa-Hunt syndrome, Ophthalmoplegia
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