VISUAL LOSS FROM INTRACRANIAL PACHYMENINGITIS

Authors

  • NITINAVAKARN Benjaporn Department of Radiology
  • TIAMKAO Somsak Department of Medicine
  • THANAPAISARN Chaivit Department of Surgery Srinakarind Hospital, Khon Kaen University
  • CHUANGSHOTI Shanop Department of Pathology Chulalongkorn Hospital Chulalongkom University

Abstract

We report a patient with chronic headache and optic neuropathy unrelated to any systemic disease. Widespread dural meningeal thickening shown on enhanced MRI ; biopsy - proven intracranial pachymeningitis from rheumatoid nodule.
She had left-sided optic neuropathy.
She developed cavernous sinus thrombosis, presumably due to compromised dural venous drainage from extensive meningeal inflammation.
Corticosteroid therapy improved visual function and headache.
Gadolinium - enhanced MRI was essential in identifying meningeal inflammation and locating suitable biopsy site.

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Published

2023-04-09

How to Cite

1.
Benjaporn N, Somsak T, Chaivit T, Shanop C. VISUAL LOSS FROM INTRACRANIAL PACHYMENINGITIS. ASEAN J Radiol [Internet]. 2023 Apr. 9 [cited 2025 Jan. 26];5(1):41-6. Available from: https://www.asean-journal-radiology.org/index.php/ajr/article/view/464

Issue

Vol. 5 No. 1 (1999): January-April

Section

Original Article

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