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KMID : 0861220160180010011
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Journal of the Korean Society Clinical Neurophysiology
2016 Volume.18 No. 1 p.11 ~ p.13
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Idiopathic Hypertrophic Cranial Pachymeningitis Masquerading as Tolosa-Hunt Syndrome
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Kim Dong-Hee
Hwang Yun-Su
Lee Hak-Seung
Park Hyun-Young
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Abstract
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Idiopathic hypertrophic cranial pachymeningitis (ICHP) is diffuse inflammatory process of the dura mater. ICHP can produce similar presentation with Tolosa-Hunt syndrome (THS) if it involves cavernous sinus. A-29-year old male with persistent headache and no definite neurologic dysfunction was noted. Two weeks later, he complained of ophthalmoplegia, and his symptoms were thought to be manifestations of THS. Brain magnetic resonance images revealed diffuse thickened, enhanced pachymeninges in left tentorium. The patient was diagnosed with IHCP. We report a IHCP patient who showed very similar presentation as THS.
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KEYWORD
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Pachymeningitis, Tolosa-Hunt syndrome, Ophthalmoplegia
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