Hypertrophic Cranial Pachymeningitis After Mollaret's Meningitis: Case Report and Review of The Literature
Journal Title: Journal of Neurological Sciences-Turkish - Year 2007, Vol 24, Issue 4
Abstract
A 52-year-old woman was referred to Pamukkale University Hospital with the diagnosis of left temporal intracranial epidermoid cyst. Clinical manifestations of her presentation included chronic headache, right sided hemiparesia and epileptic seizures. She was operated and the tumor was resected. Two months after discharge she suffered from fever, nuchal rigidity, and progressive hemiparesia. Although she received steroid treatment with diagnosis of Mollaret's Meningitis (MM), hydrocephalus developed and ventriculo peritoneal shunt was implanted. At follow-up, lower cranial nerve paralysis and quadriparesia developed. Magnetic resonance imaging (MRI) with gadolinium revealed diffuse enhancement of the dura, tentorium, falx and basal cisterns. The diagnosis was accepted as hypertrophic cranial pachymeningitis caused by MM. Clinical presentation, radiological features, etiology, diagnosis, and management options of MM and hypertrophic pachymeningitis are discussed, and the relevant literature is reviewed. As far as we know, this is the first report of hypertrophic cranial pachymeningitis development after MM in the literature.
Authors and Affiliations
Erdal COSKUN, Feridun ACAR, Tuncer SUZER, Bayram CIRAK
Keywords
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