Hypertrophic pachymeningitis

Case contributed by Fateme Hosseinabadi
Diagnosis almost certain

Presentation

Chronic headache from 3 months ago

Patient Data

Age: 30 years
Gender: Female
mri

Contrast enhanced MRI demonestrating bilateral tentorial dural thickening hypointense to brain parenchyma, with dural enhancement.

Case Discussion

Evaluation of chronic headache in a young female with response to corticosteroides and negative vasculitidis serologic testes and LP, confirmed hypertrophic pachymeningitis.

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