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Acta Neurol Belg (2013) 113:95–98 DOI 10.1007/s13760-012-0169-z LETTE R T O T HE EDI T OR Focal idiopathic hypertrophic pachymeningitis: a case with two separate sites involved at a 5-year interval • • Roger Denays Germain Milbouw • • Alexandre Mosseray Alex Michotte Pierre Hella Received: 5 October 2012 / Accepted: 23 November 2012 / Published online: 8 January 2013 Belgian Neurological Society 2012 Introduction lesion at the L5–S1 level (Fig. 1a). A decompressive laminectomy was performed showing an extradural in- Focal idiopathic hypertrophic pachymeningitis (IHP) is an tracranalar mass lesion. The patient was free of pain after uncommon disorder of unknown etiology in which the surgery and regained a normal strength in her left leg. A intracranial and/or intraspinal dura mater become locally postoperative MRI of the lumbar spine confirmed the thickened, often adhering to the underlying leptomeninges existence of an expansive epidural mass at the L5–S1 level [1]. We report a case of IHP focally affecting successively (Fig. 1b–d). This mass was removed in toto a month later the lumbosacral spinal dura and, 5 years later, the right by a neurosurgeon. Pathological study showed that this parietal dura mater. To our knowledge, such a course mass consisted
Acta Neurologica Belgica – Springer Journals
Published: Jan 8, 2013
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