Idiopathic hypertrophic spinal pachymeningitis: Report of 3 cases

Moksha G. Ranasinghe, Omar Zalatimo, Elias Rizk, Charles Specht, G. Timothy Reiter, Robert Harbaugh, Jonas Sheehan

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Spinal idiopathic hypertrophic pachymeningitis (IHP) is a rare, chronic, nonspecific, granulomatous inflammatory disorder of the dura with unknown etiology. It can cause a localized or diffuse thickening of the dura mater with compression of the spinal canal and possible myelopathic symptoms. The authors report 3 consecutive cases of spinal IHP with a review of the literature. The diagnosis of spinal IHP was based on biopsy and pathological confirmation. Typical MR imaging findings suggestive of spinal IHP were noted in all cases. The clinical course may be marked by deterioration despite conservative therapy and may require surgical intervention to prevent irreversible neurological damage. Therefore, prompt diagnosis and institution of proper treatment is critical.

Original languageEnglish (US)
Pages (from-to)195-201
Number of pages7
JournalJournal of Neurosurgery: Spine
Volume15
Issue number2
DOIs
StatePublished - Aug 2011

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology

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