Idiopathic hypertrophic cranial pachymeningitis masquerading as Tolosa-Hunt syndrome

J Clin Neurosci. 2005 Jun;12(5):589-92. doi: 10.1016/j.jocn.2004.08.016.

Abstract

Idiopathic hypertrophic cranial pachymeningitis is a rare condition. A case of idiopathic hypertrophic cranial pachymeningitis presenting as Tolosa-Hunt syndrome is being reported. The importance of neuroimaging in patients with suspected Tolosa-Hunt syndrome is discussed. Tolosa-Hunt syndrome might represent a focal manifestation of Idiopathic hypertrophic cranial pachymeningitis. Future studies are necessary to further clarify the relationship between these two conditions.

Publication types

  • Case Reports

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use
  • Blepharoptosis / etiology
  • Blepharoptosis / physiopathology
  • Cavernous Sinus / diagnostic imaging
  • Cavernous Sinus / pathology*
  • Cavernous Sinus / physiopathology
  • Diagnosis, Differential
  • Diagnostic Errors / prevention & control*
  • Dura Mater / diagnostic imaging
  • Dura Mater / pathology*
  • Dura Mater / physiopathology
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Meningitis / diagnosis*
  • Meningitis / drug therapy
  • Meningitis / physiopathology
  • Middle Aged
  • Oculomotor Muscles / innervation
  • Oculomotor Muscles / physiopathology
  • Oculomotor Nerve Diseases / etiology
  • Oculomotor Nerve Diseases / physiopathology
  • Ophthalmoplegia / etiology*
  • Ophthalmoplegia / physiopathology
  • Prednisone / therapeutic use
  • Tolosa-Hunt Syndrome / diagnosis*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Trochlear Nerve Diseases / etiology
  • Trochlear Nerve Diseases / physiopathology

Substances

  • Anti-Inflammatory Agents
  • Prednisone