Subject Area
Craniocervical junction
Article Type
Clinical Study
Abstract
Background Data: Cranio-cervical pachymeningitis is a rare and challenging disorder. Management of this condition is still under research. Purpose: To follow a case of cranio-cervical pachymeningitis and to decide the optimal management method and factors affecting outcome and prognosis of this condition. Study Design: A case_report following surgical result with review of literatures. Patients and Methods: A 56 years old male presented by a progressive cervical myelopathy. MRI cervical spine showed cranio-cervical hypertrophic pachymeningitis with compression on cervical cord.Surgical decompression was done with continuous postoperative clinical and radiological follow-up. Results: Significant clinical improvement was observed after surgical excision. Recurrence happened later with cessation of corticosteroids.After follow up of the patient and review of literatures; factors affecting the prognosis were determined as follow: degree of surgical decompression, continuous use of corticosteroids till full radiological improvement, and development of cranial lesions. Conclusion: Cranio-cervical pachymeningitis is a challenging disorder, management of it should be combined adequate surgical decompression, use of corticosteroids and postoperative rehabilitation program. (2016ESJ116)
Keywords
Pachymeningitis, cervical spine, Inflammation, dura matter
How to Cite This Article
Elsawaf, Ahmed
(2016)
"Cranio-Cervical Idiopathic Hypertrophic Pachymeningitis: A case_report and Review of Literature,"
Advanced Spine Journal: Vol. 19
:
Iss.
1
, Article 6.
Available at: https://doi.org/10.21608/esj.2016.4014
