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Journal of Craniovertebral Junction and Spine
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CASE REPORT
Year : 2017  |  Volume : 8  |  Issue : 4  |  Page : 387-389

Idiopathic hypertrophic pachymeningitis as a rare cause of cervical compressive myelopathy


1 Department of Radiology, State University of Campinas, SP, Brazil
2 Department of Pathology, State University of Campinas, SP, Brazil

Correspondence Address:
Dr. Fabiano Reis
Department of Radiology, State University of Campinas, 126 Tessalia Vieira de Camargo Street, Cidade Universitaria Zeferino Vaz, 13083-887, Campinas, SP
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcvjs.JCVJS_118_17

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The spinal form of idiopathic hypertrophic pachymeningitis (IHP) is a rare condition characterized by a chronic progressive diffuse inflammatory fibrosis of the dura mater, which may evolve to the compression of the spinal cord. We present a case report about IHP focusing on its features in magnetic resonance imaging, which are determined by an intradural extramedullary mass in the cervical spine showing hypointensity on T2-weighted images and peripheral enhancement, causing compression of the spinal cord. Histological analysis showed a nonspecific chronic inflammatory process in dense fibrous tissue. The patient had a good outcome after therapy with steroids.


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