MRI of cerebral rheumatoid pachymeningitis: report of two cases with follow-up

Neuroradiology
M CelleriniD Cammelli

Abstract

We report the clinical and neuroradiological features of cerebral rheumatoid pachymeningitis with 1 year follow-up in two patients. MRI of the head enabled noninvasive diagnosis of both the meningeal abnormality and its complications, consisting of hypertensive hydrocephalus and superior sagittal sinus thrombosis, respectively. Dural sinus thrombosis, very uncommon in rheumatoid arthritis, was confirmed by phase-contrast MRA. Worsening of the pachymeningitis at follow-up was observed in both patients despite regression or stability of the clinical picture and long-term therapy.

Citations

Sep 9, 2011·Rheumatology International·Zehra Isik HasilogluSait Albayram
May 6, 2009·Clinical Rheumatology·Reiji KoideMitsuaki Bandoh
Aug 25, 2011·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Hye Yun KimMan Ho Kim
Mar 24, 2006·AJR. American Journal of Roentgenology·Stephen E JonesMark E Mullins
Mar 20, 2012·Acta neurologica Belgica·Marie Céline DurayPatrice Laloux
Apr 16, 2008·Rinshō shinkeigaku = Clinical neurology·Daisuke MatsuuraMasayasu Matsumoto
Mar 25, 2009·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Alessandro CianfoniCesare Colosimo
Feb 5, 2005·Seminars in Arthritis and Rheumatism·Terri S SpencerAntonio J Reginato
Mar 1, 2006·Journal of the Neurological Sciences·Takuya MatsushitaJun-ichi Kira
May 10, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Eduardo VillaCarlos Guevara

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