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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 521-523
DOI: 10.1055/s-0041-1724087
Relato de Caso

Idiopathic Hypertrophic Spinal Pachymeningitis: A Case Report

Artikel in mehreren Sprachen: português | English
Lucas Lodomiro Araújo Melo 
1   Faculdade de Medicina, Departamento de Ortopedia, Universidade Federal de Goiás, Goiânia, GO, Brasil
2   Centro de Reabilitação e Readaptação Henrique Santillo (CRER), Goiânia, GO, Brasil
,
Murilo Tavares Daher
1   Faculdade de Medicina, Departamento de Ortopedia, Universidade Federal de Goiás, Goiânia, GO, Brasil
2   Centro de Reabilitação e Readaptação Henrique Santillo (CRER), Goiânia, GO, Brasil
,
Marcus Vinícius Magno Gonçalves
3   Departamento de Medicina, Universidade Regional de Joinville (UNIVILLE), Joinville, SC, Brasil
,
Marianne Borges Freitas 
4   Universidade Federal de Uberlândia, Uberlândia, MG, Brazil
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Abstract

Idiopathic hypertrophic pachymeningitis is rare cause of neurological symptoms with myelopathy due to spinal cord compression. We report a case of pachymeningitis, which was manifested primarily by tetraparesis after low-energy trauma and recurrence the myelopathy symptoms after 5 years of surgery. The patient, a 19-year-old woman, was subjected to extensive investigation without evidence of any underlying disease. A meningeal biopsy was performed and showed an unspecific inflammatory process with extensive fibrosis of the dura mater. These findings, associated with the exclusion of other causes, suggest idiopathic hypertrophic pachymeningitis.

Keywords

spinal cord - meningitis/ pathology - meningitis/physiopathology - hypertrophy

Financial Support

There was no financial support from public, commercial, or non-profit sources.




Publikationsverlauf

Eingereicht: 12. Oktober 2020

Angenommen: 01. Dezember 2020

Artikel online veröffentlicht:
13. August 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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