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Age / Sex : 73 / F
Chief complaint : Both leg weakness, Gait disturbance
What is your diagnosis?
Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer)
Courtesy : 추혜정 (Hye Jung Choo), 인제대학교부산백병원(Inje University Busan Paik Hospital)
Diagnosis: Hypertrophic pachymeningitis
Discussion
Discussion
An rare disorder distinguished by long-standing nonspecific granulomatous inflammation of the dura with fibrosis that can result in compression of the brain or spinal cord
Spinal hypertrophic pachymeningitis
- typically, cervical and thoracic involvement
Radiologic findings
- A dural-based mass of T2 low SI extending over multiple levels with strong enhancement
- Linear/nodular or peripheral enhancement
Reference
AJNR Am J Neuroradiol 28:590 –92
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