Ait Benhaddou E, Zinebi A, Elhassani M, Raissouni L, Elhassani MR, Benomar A, Yahyaoui M. [Pachymeningitis associated with probable Horton's disease: a case report].
Rev Neurol (Paris) 2009;
166:253-6. [PMID:
19497602 DOI:
10.1016/j.neurol.2009.04.007]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2008] [Revised: 03/13/2009] [Accepted: 04/22/2009] [Indexed: 11/15/2022]
Abstract
INTRODUCTION
Horton's disease is the most common vasculitis of elder people. Several neurological complications are reported, but pachymeningitis is exceptional.
OBSERVATION
A 71-year-old patient who presented headache, hyperesthesia of the scalp, weight loss with a biological inflammatory syndrome and meningeal thickening on MRI. The diagnosis of pachymeningitis related to Horton's disease was retained. The patient was treated by corticosteroids with a good clinical, biological and radiological course after 22 months.
CONCLUSION
Horton's disease is a potential diagnosis in elderly persons with pachymeningitis and inflammatory syndrome.
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