Pachimeningite ipertrofica idiopatica. Un probabile caso migliorato con terapia antitubercolare

Translated title of the contribution: A probable case of hypertrophic idiopathic pachimeningitis traited successfully with antitubercular therapy

Andrea Botturi, Bianca Pollo, Carmelo Maccagnano, Elena Lamperti, Anna Fiumani, Amerigo Boiardi, Andrea Salmaggi

Research output: Contribution to journalArticle

Abstract

Hypertrophic Idiopathic Pachymeningitis (HIP) is a diagnosis of exclusion; patients with this disease display a chronic course, often with disabling headache and other neurological signs/symptoms. Therapy includes symptomatic treatment together with empirical administration of steroids and/or immunosuppressants. We report the case of a man with progressive IHP in whom chronic steroid treatment deferred detection of cerebrospinal fluid abnormalities highly suggestive of tubercular infection; after a brief wash-out from steroids, CSF hypoglycorrachia and increase in total protein - together with positive Tine-test - led, despite non-diagnostic meningeal biopsy - to antitubercular therapy with marked clinico-radiological improvement.

Translated title of the contributionA probable case of hypertrophic idiopathic pachimeningitis traited successfully with antitubercular therapy
Original languageItalian
Pages (from-to)133-137
Number of pages5
JournalRivista Italiana di Neurobiologia
Volume2
Issue number3
Publication statusPublished - 2005

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

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