Pachymeningitis

Case contributed by Dr G Balachandran

Presentation

50 years old female was referred for evaluation of chronic headaches.

Patient Data

Age: 50
Gender: Female
MRI

Pachymeningitis

Case Discussion

Her MR images showed diffuse dural based hypointense mass involving falx cerebri, 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
Case created: 25th Sep 2010
Last edited: 8th Oct 2015
Inclusion in quiz mode: Included

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