Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 3, Number 4, August 2012, pages 267-269

Idiopathic Hypertrophic Pachymeningitis as a Rare Cause of Spinal Cord Compression


Figure 1.
Figure 1. Hypertrophic pachymeningitis shown on MRI of spine with gadolinium contrast. A) Prominent abnormal enhancement infiltrated epidural space from T1 to T3, shown in the T1-weighted post-gadolinium sagittal image of thoracic spine. B) Prominent abnormal enhancement at ventral side at L4, shown in the T2-weighted post-gadolinium sagittal image of lumbar spine. C). Abnormal soft tissue on the left lateral side with mass effect on spinal cord, shown in the T2-weghted post-gadolinium transverse image at the thoracic T3. Arrows point to the thickened dura.
Figure 2.
Figure 2. Hematoxylin and eosin staining of the excised dura mater. Fibrosis and chronic inflammation with lymphocytes and eosinophils were found.