Idiopathic Hypertrophic Pachymeningitis Presenting with Uveitic Glaucoma.

A 73-year-old man presented with uveitic glaucoma associated with headache. Because there were no active inflammatory signs, synechiolysis and cataract extraction were performed. Even after lowering intraocular pressure, he repeatedly complained of headache, but no neuroimaging was performed. Acute bilateral visual loss was occurred 3 months after cataract surgery. Ophthalmologic examination revealed bilateral optic neuritis and a Gd-DPTA-enhanced cranial magnetic resonance imaging (MRI) showed thickened enhancement of the dura and optic nerve sheath. A final clinical diagnosis of idiopathic hypertrophic pachymeningitis associated with optic neuritis was made.

[1]  J. Laothamatas,et al.  Idiopathic hypertrophic cranial pachymeningitis , 2008, Journal of Clinical Neuroscience.

[2]  E. Cho,et al.  Idiopathic hypertrophic pachymeningitis mimicking lymphoplasmacyte-rich meningioma. , 2007, Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society.

[3]  Benito Pereira Damasceno,et al.  Hypertrophic pachymeningitis: case report. , 2003, Arquivos de neuro-psiquiatria.

[4]  J. Yoshida,et al.  Idiopathic hypertrophic cranial pachymeningitis: clinicoradiological spectrum and therapeutic options. , 1999, Neurosurgery.

[5]  Y. Sawamura,et al.  Optic neuropathy associated with hypertrophic cranial pachymeningitis. , 1996, The British journal of ophthalmology.

[6]  S. Shintani,et al.  Hypertrophic cranial pachymeningitis causing progressive unilateral blindness: MR findings , 1993, Clinical Neurology and Neurosurgery.