Hypertrophic intracranial pachymeningitis associated with chronic otitis media -A case report-

J Korean Neurol Assoc > Volume 15(4); 1997 > Article

Journal of the Korean Neurological Association 1997;15(4): 890-894.

만성중이염과 연관된 비후성 두개내 경막염 1예

한현정, 이태연, 신동익, 이성현, 이상수, 한설희, 이건국

충북대학교 의대 신경과. 병리학과

Hypertrophic intracranial pachymeningitis associated with chronic otitis media -A case report-

Hyun-Jeong Han, M.D., Tai-Yeon Lee, M.D., Dong-Ick Shin, M.D., Sung-Hyun Lee, M.D., Sang-Soo Lee, M.D., Seol-Heui Han, M.D., Geon Kook Lee, M.D.

Department of Neurology & Pathology, College of Medicine, Chungbuk National University

Abstract

A 59-year-old woman was admitted to our hospital because of occipital headache and multiple cranial nerve dysfunction. The patient had been suffered from chronic otitis media. MRI of the brain showed a thickened and markedly enhanced dura mater in the temporal lobe. The patient underwent a left temporal craniectomy and dural biopsy. Histopathological examination revealed thickened duar amter infiltrated with giant cell, lymphocytic and plasma cell infiltration. The fungus, acid-fast and PAS stains were all negative. After administraion of steroid, cranial nerve disturbances and headache improved. The cause of the hypertrophpic intracranial pachymeningitis in this patient was thought to be related with the chronic otitis media, although the clinical course of the patient was similar to the idiopathic hypertrophic pachymeningitis. Key Words : Hypertrophic intracranial pachymeningitis, Chronic otitis media