271 539

Cited 17 times in

Idiopathic hypertrophic spinal pachymeningitis : report of two cases and review of the literature

DC Field Value Language
dc.contributor.author박영목-
dc.contributor.author진동규-
dc.date.accessioned2014-12-20T17:41:37Z-
dc.date.available2014-12-20T17:41:37Z-
dc.date.issued2011-
dc.identifier.issn2005-3711-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/95083-
dc.description.abstractIdiopathic hypertrophic spinal pachymeningitis (IHSP) is a rare inflammatory disease characterized by hypertrophic inflammation of the dura mater and various clinical courses that are from myelopathy. Although many associated diseases have been suggested, the etiology of IHSP is not well understood. The ideal treatment is controversial. In the first case, a 55-year-old woman presented back pain, progressive paraparesis, both leg numbness, and voiding difficulty. Initial magnetic resonance imaging (MRI) demonstrated an anterior epidural mass lesion involving from C6 to mid-thoracic spine area with low signal intensity on T1 and T2 weighted images. We performed decompressive laminectomy and lesional biopsy. After operation, she was subsequently treated with steroid and could walk unaided. In the second case, a 45-year-old woman presented with fever and quadriplegia after a spine fusion operation due to lumbar spinal stenosis and degenerative herniated lumbar disc. Initial MRI showed anterior and posterior epidural mass lesion from foramen magnum to C4 level. She underwent decompressive laminectomy and durotomy followed by steroid therapy. However, her conditions deteriorated gradually and medical complications occurred. In our cases, etiology was not found despite through investigations. Initial MRI showed dural thickening with mixed signal intensity on T1- and T2-weighted images. Pathologic examination revealed chronic nonspecific inflammation in both patients. Although one patient developed several complications, the other showed slow improvement of neurological symptoms with decompressive surgery and steroid therapy. In case of chronic compressive myelopathy due to the dural hypertrophic change, decompressive surgery such as laminectomy or laminoplasty may be helpful as well as postoperative steroid therapy.-
dc.description.statementOfResponsibilityopen-
dc.format.extent392~395-
dc.relation.isPartOfJOURNAL OF KOREAN NEUROSURGICAL SOCIETY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleIdiopathic hypertrophic spinal pachymeningitis : report of two cases and review of the literature-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorJee Hee Kim-
dc.contributor.googleauthorYoung Mok Park-
dc.contributor.googleauthorDong Kyu Chin-
dc.identifier.doi10.3340/jkns.2011.50.4.392-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01565-
dc.contributor.localIdA03979-
dc.relation.journalcodeJ01520-
dc.identifier.eissn1598-7876-
dc.identifier.pmid22200026-
dc.subject.keywordChronic nonspecific inflammation-
dc.subject.keywordDural thickening-
dc.subject.keywordIdiopathic hypertrophic spinal pachymeningitis-
dc.subject.keywordSpinal cord compression-
dc.contributor.alternativeNamePark, Young Mok-
dc.contributor.alternativeNameChin, Dong Kyu-
dc.contributor.affiliatedAuthorPark, Young Mok-
dc.contributor.affiliatedAuthorChin, Dong Kyu-
dc.rights.accessRightsfree-
dc.citation.volume50-
dc.citation.number4-
dc.citation.startPage392-
dc.citation.endPage395-
dc.identifier.bibliographicCitationJOURNAL OF KOREAN NEUROSURGICAL SOCIETY, Vol.50(4) : 392-395, 2011-
dc.identifier.rimsid28080-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.