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토로사-헌트 증후군으로 오인된 특발성 비후성 두개 경막염

Idiopathic Hypertrophic Cranial Pachymeningitis Masquerading as Tolosa-Hunt Syndrome

  • 김동희 (원광대학교 의과대학 산본병원 신경과) ;
  • 황윤수 (원광대학교 의과대학 신경과학교실) ;
  • 이학승 (원광대학교 의과대학 신경과학교실) ;
  • 박현영 (원광대학교 의과대학 신경과학교실)
  • Kim, Dong Hee (Department of Neurology, Wonkwang University Sanbon Medical Center) ;
  • Hwang, Yun Su (Department of Neurology, Wonkwang University School of Medicine) ;
  • Lee, Hak Seung (Department of Neurology, Wonkwang University School of Medicine) ;
  • Park, Hyun Young (Department of Neurology, Wonkwang University School of Medicine)
  • 투고 : 2015.12.11
  • 심사 : 2016.05.17
  • 발행 : 2016.06.30

초록

Idiopathic hypertrophic cranial pachymeningitis (ICHP) is diffuse inflammatory process of the dura mater. ICHP can produce similar presentation with Tolosa-Hunt syndrome (THS) if it involves cavernous sinus. A-29-year old male with persistent headache and no definite neurologic dysfunction was noted. Two weeks later, he complained of ophthalmoplegia, and his symptoms were thought to be manifestations of THS. Brain magnetic resonance images revealed diffuse thickened, enhanced pachymeninges in left tentorium. The patient was diagnosed with IHCP. We report a IHCP patient who showed very similar presentation as THS.

키워드

참고문헌

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