Abstract
A successful direct operation in a case of hypertrophic cranial pachymeningitis (HCP) is described. A 51-year-old male was admitted with right visual disturbance. CT scanning revealed a mass lesion in the right middle cranial fossa extending into the right orbita. From MRI it was ascertained that this mass lesion consisted of thickening of the skull base dura. The effect of steroids was transient and his visual disturbance was rapidly increasing. A direct operation was performed consisting of partial dissection of the thickening dura and decompression of the right optic nerve. Histological diagnosis showed HCP. After surgery his symptoms dramatically improved. The etiology, and natural course and treatment of HCP are well reported in the literature. In the present case the etiology was not clear, but there was a possible relationship with intraorbital pseudotumor or multifocal fibrosclerosis. The reported occasional transitory effect of steroids on HCP and a poor prognosis for visual acuity are common traits in these patients. The authors thus feel that a direct operation should be immediately carried out when the effect of steroids on visual disturbances associated with HCP is judged transient.
| Original language | English |
|---|---|
| Pages (from-to) | 281-285 |
| Number of pages | 5 |
| Journal | Neurological Surgery |
| Volume | 24 |
| Issue number | 3 |
| Publication status | Published - 1996 Mar |
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Keywords
- etiology
- hypertrophic cranial pachymeningitis
- prognosis
- treatment
- visual disturbance
ASJC Scopus subject areas
- Clinical Neurology
Cite this
A successful case of hypertrophic cranial pachymeningitis treated by optic nerve decompression. / Horiguchi, Takashi; Gotoh, Kazuhiro; Yoshida, Kazunari; Toya, Shigeo.
In: Neurological Surgery, Vol. 24, No. 3, 03.1996, p. 281-285.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A successful case of hypertrophic cranial pachymeningitis treated by optic nerve decompression
AU - Horiguchi, Takashi
AU - Gotoh, Kazuhiro
AU - Yoshida, Kazunari
AU - Toya, Shigeo
PY - 1996/3
Y1 - 1996/3
N2 - A successful direct operation in a case of hypertrophic cranial pachymeningitis (HCP) is described. A 51-year-old male was admitted with right visual disturbance. CT scanning revealed a mass lesion in the right middle cranial fossa extending into the right orbita. From MRI it was ascertained that this mass lesion consisted of thickening of the skull base dura. The effect of steroids was transient and his visual disturbance was rapidly increasing. A direct operation was performed consisting of partial dissection of the thickening dura and decompression of the right optic nerve. Histological diagnosis showed HCP. After surgery his symptoms dramatically improved. The etiology, and natural course and treatment of HCP are well reported in the literature. In the present case the etiology was not clear, but there was a possible relationship with intraorbital pseudotumor or multifocal fibrosclerosis. The reported occasional transitory effect of steroids on HCP and a poor prognosis for visual acuity are common traits in these patients. The authors thus feel that a direct operation should be immediately carried out when the effect of steroids on visual disturbances associated with HCP is judged transient.
AB - A successful direct operation in a case of hypertrophic cranial pachymeningitis (HCP) is described. A 51-year-old male was admitted with right visual disturbance. CT scanning revealed a mass lesion in the right middle cranial fossa extending into the right orbita. From MRI it was ascertained that this mass lesion consisted of thickening of the skull base dura. The effect of steroids was transient and his visual disturbance was rapidly increasing. A direct operation was performed consisting of partial dissection of the thickening dura and decompression of the right optic nerve. Histological diagnosis showed HCP. After surgery his symptoms dramatically improved. The etiology, and natural course and treatment of HCP are well reported in the literature. In the present case the etiology was not clear, but there was a possible relationship with intraorbital pseudotumor or multifocal fibrosclerosis. The reported occasional transitory effect of steroids on HCP and a poor prognosis for visual acuity are common traits in these patients. The authors thus feel that a direct operation should be immediately carried out when the effect of steroids on visual disturbances associated with HCP is judged transient.
KW - etiology
KW - hypertrophic cranial pachymeningitis
KW - prognosis
KW - treatment
KW - visual disturbance
UR - http://www.scopus.com/inward/record.url?scp=0029970274&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029970274&partnerID=8YFLogxK
M3 - Article
VL - 24
SP - 281
EP - 285
JO - Neurological Surgery
JF - Neurological Surgery
SN - 0301-2603
IS - 3
ER -