Open Access
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

Article in several languages: português | English
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
,
4   Universidade Federal de Uberlândia, Uberlândia, MG, Brazil
› Author Affiliations
Preview

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.

Financial Support

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




Publication History

Received: 12 October 2020

Accepted: 01 December 2020

Article published online:
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/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil