التفاصيل البيبلوغرافية
| العنوان: |
Idiopathic hypertrophic pachymeningitis in a patient with a history of diffuse large B cell lymphoma. |
| المؤلفون: |
Yusuke Yoshimura, Junko Kanda-Kikuchi, Takayuki Hara, Izumi Sugimoto |
| المصدر: |
BMJ Case Reports; Jun2023, Vol. 16 Issue 6, p1-7, 7p |
| مستخلص: |
A man in his early 70s with a 4-year history of diffuse large B cell lymphoma (DLBCL) was admitted to our hospital with diplopia and achromatopsia. Neurological examination revealed visual impairment, ocular motility disorder and diplopia on looking to the left. Blood and cerebrospinal fluid investigations showed no significant findings. MRI revealed diffusely thickened dura mater and contrast-enhanced structures in the left apical orbit, consistent with hypertrophic pachymeningitis (HP). We performed an open dural biopsy to distinguish the diagnosis from lymphoma. The pathological diagnosis was idiopathic HP, and DLBCL recurrence was ruled out. Following methylprednisolone pulse and oral prednisolone therapy, his neurological abnormalities gradually receded. Open dural biopsy played an important role not only in diagnosing idiopathic HP but also in relieving the pressure on the optic nerve. [ABSTRACT FROM AUTHOR] |
|
Copyright of BMJ Case Reports is the property of BMJ Publishing Group and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder