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Abstract
Recurrent ophthalmoplegia poses a diagnostic challenge. A less commonly reported etiology is Idiopathic hypertrophic cranial pachymeningitis (IHCP), characterized by thickening of the dura mater and widespread CNS dysfunction depending of the location. The diagnosis is one of exclusion. Patients have a recurrent course and need immunosuppression. The authors’ report here in diagnostic and management dilemma in a patient with IHCP
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