Hypertrophic pachymeningitis

Case contributed by Dr G Balachandran

Presentation

Evaluation of chronic headaches.

Patient Data

Age: 50 years
Gender: Female
MRI

MRI Brain

Hypertrophic pachymeningitis characterized by multiple extra-axial vividly enhancing masses involving the cerebral falx and sphenoid wing meninges. 

Case Discussion

Her MR images showed diffuse dural based hypointense mass involving the cerebral falx and sphenoid wing meninges. The mass showed dense homogenous enhancement with multiple dural tails. Most probably the etiology in our case is sarcoidosis as we have ruled out the other possibilities like intracranial hypotension, dural fibrosis, metastasis, meningioma, etc.

For a differential please refer to hypertrophic pachymeningitis.

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Case information

rID: 10821
Published: 25th Sep 2010
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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