Hypertrophic pachymeningitis: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Hypertrophic pachymeningitis: clinical features. This is usually a chronic daily headache. Fully referenced neurology checklist.

Headache

  • This is usually a chronic daily headache
  • It most frequently manifests as chronic migraine
  • It may mimic hemicrania continua: case report

Other clinical features

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Complications

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Differential diagnosis of thick enhancing meninges

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References

  1. Wang YJ, Fuh JL, Lirng JF, Lu SR, Wang SJ. Headache profile in patients with idiopathic hypertrophic cranial pachymeningitis. Headache 2004; 44:916-923.
  2. Russo A, Silvestro M, Cirillo M, Tessitore A, Tedeschi G. Idiopathic hypertrophic pachymeningitis mimicking hemicrania continua: an unusual clinical case. Cephalalgia 2017; 333102417708773 (Epub ahead of print).
  3. Khalil M, Ebner F, Fazekas F, Enzinger C. Neurological picture. Idiopathic hypertrophic cranial pachymeningitis: a rare but treatable cause of headache and facial pain. JNNP 2013; 84:354-355.
  4. Kupersmith, MJ, Martin V, Heller G, Shah A, Mitnick HJ. Idiopathic hypertrophic pachymeningitis. Neurology 2004; 62:686-694.
  5. Huang Y, Chen J, Gui L. A case of idiopathic hypertrophic pachymeningitis presenting with chronic headache and multiple cranial nerve palsies: a case report. Medicine (Baltimore) 2017; 96:e7549.
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