Pachymeningitis cervicalis hypertrophica

Case report

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✓ The authors present the case of a 25-year-old man with idiopathic pachymeningitis hypertrophica that caused cervical radiculopathy. Decompressive surgery produced significant neurological improvement. The etiology and management of the condition are discussed and the literature is reviewed.

Article Information

Address reprint requests to: Jeffrey V. Rosenfeld, F.R.A.C.S., Neurosurgery Registrar, Department of Neurosurgery, The Royal Melbourne Hospital, Parkville 3050, Victoria, Australia.

© AANS, except where prohibited by US copyright law.

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Figures

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    Preoperative cervical myelogram showing lack of filling of the lower cervical nerve roots (arrows).

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    Photomicrograph of the surgical specimen showing dural thickening with nonspecific chronic inflammation and hyaline fibrosis. H & E, × 100.

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