Abstract
Hypertrophic pachymeningitis is an infrequent cause of spinal cord compression, secondary to an intracanal and extramedullary inflammatory infiltrate in patients with Wegener’s disease, and it produces canal stenosis and spinal cord compression. We present the case of a patient with this rare entity, providing explanatory images, who was treated with corticosteroids with partial remission of the lesions.
Highlights
Hypertrophic pachymeningitis is an infrequent cause of spinal cord compression, secondary to an intracanal and extramedullary inflammatory infiltrate in patients with Wegener’s disease, and it produces canal stenosis and spinal cord compression
We present the case of a 72-year-old male patient with a long-standing history of ANCA + vasculitis, suggestive of Wegener's granulomatosis, who came to the emergency room due to progressive weakness and a sensation of corking in the left lower limb, of acute onset
It was composed of several nodulations that conditioned spinal canal stenosis (Figure 1c, white cross) and compression of the dorsal cord, no evidence of myelopathy at the time of the examination was seen [2]
Summary
Hypertrophic pachymeningitis is an infrequent cause of spinal cord compression, secondary to an intracanal and extramedullary inflammatory infiltrate in patients with Wegener’s disease, and it produces canal stenosis and spinal cord compression. Spinal Cord Compression Due to Hypertrophic Dorsal Pachymeningitis in a Patient with ANCA + Vasculitis
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