VISUAL LOSS FROM INTRACRANIAL PACHYMENINGITIS

Authors

  • NITINAVAKARN Benjaporn Department of Radiology
  • TIAMKAO Somsak Department of Medicine
  • THANAPAISARN Chaivit Department of Surgery Srinakarind Hospital, Khon Kaen University
  • CHUANGSHOTI Shanop Department of Pathology Chulalongkorn Hospital Chulalongkom University

Abstract

We report a patient with chronic headache and optic neuropathy unrelated to any systemic disease. Widespread dural meningeal thickening shown on enhanced MRI ; biopsy - proven intracranial pachymeningitis from rheumatoid nodule.
She had left-sided optic neuropathy.
She developed cavernous sinus thrombosis, presumably due to compromised dural venous drainage from extensive meningeal inflammation.
Corticosteroid therapy improved visual function and headache.
Gadolinium - enhanced MRI was essential in identifying meningeal inflammation and locating suitable biopsy site.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Paakko E. Patronas NJ. Schellinger D. Meningeal Gd-DTPA enhancemtn in patients with malignancies. J Comput Assist Tomogr 1990;14: 542-6

.Wrobel CJ. Meyer S. Johnson RH. Hesselink JR. MR findings in acute and chronic coccidioidomycosis meningtitis. AJNR 1992;13: 1241-5

Sze G. Disease of the intracranial meninges ; MR imaging features. AJR 1993;160: 727-33

Sze G. Soletsky S. Bronen R. Krol G. MR imaging of the cranial meninges with emphasis on contrast enhancement and meningeal carcinomatois. AJNR 1989;10:965-75

Phillips ME. Ryats TJ. Kambhu SA. Yuk WTC. Neoplastic vs inflammatory meningeal enhancement with Gd-DTPA. J Comput Assist Tomogr 1990;536-41

Rodesch G. Van Bogaert P. Mavroudakis N. et al. Neuroradiologic findings in leptomeningeal carcinomatosis : the value interest of gadolinitum-enhanced MRI. Neuroradiology 1990;32:26-32

Chang KH. Han MH. Roh JK. Kim IO. Han MC. Kim CW. Gd-DTPA-enhanced MR imaging of the brain in patients with meningitis : comparison with CT. AJR 1990;154:809-15

Mathews VP. Kuharik MA. Edwards MK. D Amour PG. Azzarelli B. Dreesen RG. Gd-DTPA-enhanced MR imaging of experimental _ bacterial = meningitis: evaluation and comparison with CT. AJNR 1988;9:1045-50

Donnet A. Moulin G. Tubiana N. Gras R. Robert JL. Lymphomatous meningitis: neuroradiological appearances. Neuroradiology 1992;34:411-2

Tyrell RL I. Bundschuh CV. Modic MT. Dural carcinomatosis: MR demonstration. J Comput Assist Tomogr 1987;11:329-32

Bathon JM, Moreland LW, DiBartolomeo AG. Inflammatory central nervous system involvement in rheumatoid arthritis. Semin arthritis Rheum 1989;18:258-66

Weinstein GW, Powell SR, Thrush WP. Chiasmal neuropathy secondary to rheumatoid pachymeningitis. Am J Ophthalmol! 1987;104:339-40

Steven R. Hamilton, MD. Craig H. Smith, MD and Simmons Lessell, MD. Idiopathic Hypertrophic Cranial Pachymeningitis. J. clin neuro-ophthal 1993;13(2):127-34

Nancy Feldman, Glenn Mathison, Homayoon Moosavi, Seyed A. Rooholamini, and Ramesh C. Verma. Post contrast MRI of cranial Meninges; Leptomeningitis Versus Pachymeningitis J. of Comp. Ass. Tomo. 1995;19(5):713- 20

Downloads

Published

2023-04-09

How to Cite

1.
Benjaporn N, Somsak T, Chaivit T, Shanop C. VISUAL LOSS FROM INTRACRANIAL PACHYMENINGITIS. ASEAN J Radiol [Internet]. 2023 Apr. 9 [cited 2024 May 11];5(1):41-6. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/464

Issue

Vol. 5 No. 1 (1999): January-April

Section

Original Article

License

Copyright (c) 2023 The ASEAN Journal of Radiology

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Disclosure Forms and Copyright Agreements
All authors listed on the manuscript must complete both the electronic copyright agreement. (in the case of acceptance)