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IgG4-Related Intracranial Hypertrophic Pachymeningitis : A Case Report and Review of the Literature
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  • IgG4-Related Intracranial Hypertrophic Pachymeningitis : A Case Report and Review of the Literature
  • IgG4-Related Intracranial Hypertrophic Pachymeningitis : A Case Report and Review of the Literature
저자명
Takeuchi. Satoru,Osada. Hideo,Seno. Soichiro,Nawashiro. Hiroshi
간행물명
Journal of Korean neurosurgical society
권/호정보
2014년|55권 5호|pp.300-302 (3 pages)
발행정보
대한신경외과학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Hypertrophic pachymeningitis is an uncommon disorder that causes a localized or diffuse thickening of the dura mater. Recently, the possibility that IgG4-related sclerosing disease may underlie some cases of intracranial hypertrophic pachymeningitis has been suggested. We herein report the tenth case of IgG4-related intracranial hypertrophic pachymeningitis and review the previous literature. A 45-year-old male presented with left-sided focal seizures with generalization. Magnetic resonance imaging (MRI) revealed a diffuse thickening and enhancement of the right convexity dura matter and falx with focal nodularity. The surgically resected specimens exhibited the proliferation of fibroblast-like spindle cells and an infiltration of mononuclear cells, including predominantly plasma cells. The ratio of IgG4-positive plasma cells to the overall IgG-positive cells was 45% in the area containing the highest infiltration of plasma cells. On the basis of the above findings, IgG4-related sclerosing disease arising from the dura mater was suspected. IgG4-related sclerosing disease should be added to the pachymeningitis spectrum.