토로사 - 헌트 증후군으로 오인된 특발성 비후성 두개 경막염
Idiopathic Hypertrophic Cranial Pachymeningitis Masquerading as Tolosa - Hunt Syndrome
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초록
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. (Korean J Clin Neurophysiol 2016;18:11-13)
Abstract
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. (Korean J Clin Neurophysiol 2016;18:11-13)
참고문헌 (7)
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- 손제용, "하부 뇌신경 마비로 발현한 특발성 비후성 두개 경수막염", 대한신경과학회지, 24(1), pp.79~81 (2006), 대한신경과학회
