Idiopathic Hypertrophic Pachymeningitis Mimicking Lymphoplasmacyte-Rich Meningioma

A 28-year-old woman with a 6-year history of optic neuropathy and 8 years of hearing loss had enhancing dural lesions around the brain stem and in both internal auditory canals on MRI. Histopathology from cranial procedures performed in 1990 and 1993 was originally interpreted as inflammatory mening...

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Veröffentlicht in:Journal of neuro-ophthalmology 2007-06, Vol.27 (2), p.95-98
Hauptverfasser: Hosler, Matthew R, Turbin, Roger E, Cho, Eun-Sook, Wolansky, Leo J, Frohman, Larry P
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container_issue 2
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container_title Journal of neuro-ophthalmology
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creator Hosler, Matthew R
Turbin, Roger E
Cho, Eun-Sook
Wolansky, Leo J
Frohman, Larry P
description A 28-year-old woman with a 6-year history of optic neuropathy and 8 years of hearing loss had enhancing dural lesions around the brain stem and in both internal auditory canals on MRI. Histopathology from cranial procedures performed in 1990 and 1993 was originally interpreted as inflammatory meningioma, now known as lymphoplasmacyte-rich meningioma (LRM). Because the clinical course was more consistent with a relapsing process, the original surgical specimens were restudied with additional immunocytochemical stains. The review led to a pathologic diagnosis of idiopathic hypertrophic pachymeningitis (IHP). IHP and LRM can be confused on both imaging and histopathologic grounds.
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source MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Diagnosis, Differential
Dura Mater - pathology
Female
Humans
Hypertrophy
Magnetic Resonance Imaging
Meningeal Neoplasms - diagnosis
Meningioma - diagnosis
Meningitis - diagnosis
Plasma Cells - pathology
title Idiopathic Hypertrophic Pachymeningitis Mimicking Lymphoplasmacyte-Rich Meningioma
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