An Unusual Cause of Cranial Dural Thickening
Joint Authors
Yeo, Jing Ming
MacArthur, Donald
Davis, Jillian
Scott, Ian
Gran, Bruno
Source
Case Reports in Neurological Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-10-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We describe an unusual cause of cranial dural thickening in an elderly female with a chronic meningeal inflammatory process.
A 70-year-old ethnically Chinese, Singaporean female presented with a history of chronic daily headache with no other meningeal signs.
Serial MRI brains showed progressive pachymeningeal and leptomeningeal enhancement in the left frontal region with underlying vasogenic oedema, similar appearances in the right frontal region to a lesser extent, and persistent inflammatory changes in her bilateral paranasal sinuses.
Investigative work-up showed a chronically raised ESR with a normal CRP, negative ANCA, and a chronically raised serum IgA kappa paraprotein.
Bone marrow trephine biopsy was suggestive of a low level plasma cell disorder.
Olfactory cleft biopsy showed no evidence of IgG4-related disease or vasculitis and no significant plasma cell infiltrate.
Histopathological examination from a meningeal biopsy revealed a diagnosis of an en-plaque meningioma (the WHO, 2016; Grade I) causing an unusual granulomatous reaction.
We discuss the radiological and histological relations of this rare form of meningioma.
Clinicians can consider en-plaque meningioma in the differential diagnosis of linear dural thickening and enhancement.
American Psychological Association (APA)
Yeo, Jing Ming& MacArthur, Donald& Davis, Jillian& Scott, Ian& Gran, Bruno. 2020. An Unusual Cause of Cranial Dural Thickening. Case Reports in Neurological Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1149009
Modern Language Association (MLA)
Yeo, Jing Ming…[et al.]. An Unusual Cause of Cranial Dural Thickening. Case Reports in Neurological Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1149009
American Medical Association (AMA)
Yeo, Jing Ming& MacArthur, Donald& Davis, Jillian& Scott, Ian& Gran, Bruno. An Unusual Cause of Cranial Dural Thickening. Case Reports in Neurological Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1149009
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149009