A man in his early 70s with a 4-year history of diffuse large B cell lymphoma (DLBCL) was admitted to our hospital with diplopia and achromatopsia. Neurological examination revealed visual impairment, ocular motility disorder and diplopia on looking to the left. Blood and cerebrospinal fluid investigations showed no significant findings. MRI revealed diffusely thickened dura mater and contrast-enhanced structures in the left apical orbit, consistent with hypertrophic pachymeningitis (HP). We performed an open dural biopsy to distinguish the diagnosis from lymphoma. The pathological diagnosis was idiopathic HP, and DLBCL recurrence was ruled out. Following methylprednisolone pulse and oral prednisolone therapy, his neurological abnormalities gradually receded. Open dural biopsy played an important role not only in diagnosing idiopathic HP but also in relieving the pressure on the optic nerve.
机构:
Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USAUniv Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
Bernstein, Steven H.
Unger, Joseph M.
论文数: 0引用数: 0
h-index: 0
机构:Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
Unger, Joseph M.
LeBlanc, Michael
论文数: 0引用数: 0
h-index: 0
机构:Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
LeBlanc, Michael
Friedberg, Jonathan
论文数: 0引用数: 0
h-index: 0
机构:Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
Friedberg, Jonathan
Miller, Thomas P.
论文数: 0引用数: 0
h-index: 0
机构:Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
Miller, Thomas P.
Fisher, Richard I.
论文数: 0引用数: 0
h-index: 0
机构:Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
机构:
Louisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USALouisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA
Brand, Brittany
Somers, Dave
论文数: 0引用数: 0
h-index: 0
机构:
Louisiana State Univ, Hlth Sci Ctr, New Orleans, LA 70118 USALouisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA
Somers, Dave
Wittenberg, Blake
论文数: 0引用数: 0
h-index: 0
机构:
Louisiana State Univ, Hlth Sci Ctr, New Orleans, LA 70118 USALouisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA
Wittenberg, Blake
Gautreaux, Jessica
论文数: 0引用数: 0
h-index: 0
机构:Louisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA
Gautreaux, Jessica
Deputy, Stephen
论文数: 0引用数: 0
h-index: 0
机构:Louisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA
机构:
Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USAUniv Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
Bernstein, Steven H.
Unger, Joseph M.
论文数: 0引用数: 0
h-index: 0
机构:Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
Unger, Joseph M.
LeBlanc, Michael
论文数: 0引用数: 0
h-index: 0
机构:Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
LeBlanc, Michael
Friedberg, Jonathan
论文数: 0引用数: 0
h-index: 0
机构:Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
Friedberg, Jonathan
Miller, Thomas P.
论文数: 0引用数: 0
h-index: 0
机构:Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
Miller, Thomas P.
Fisher, Richard I.
论文数: 0引用数: 0
h-index: 0
机构:Univ Rochester, Sch Med & Dent, James P Wilmot Canc Ctr, Rochester, NY 14642 USA
机构:
Louisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USALouisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA
Brand, Brittany
Somers, Dave
论文数: 0引用数: 0
h-index: 0
机构:
Louisiana State Univ, Hlth Sci Ctr, New Orleans, LA 70118 USALouisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA
Somers, Dave
Wittenberg, Blake
论文数: 0引用数: 0
h-index: 0
机构:
Louisiana State Univ, Hlth Sci Ctr, New Orleans, LA 70118 USALouisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA
Wittenberg, Blake
Gautreaux, Jessica
论文数: 0引用数: 0
h-index: 0
机构:Louisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA
Gautreaux, Jessica
Deputy, Stephen
论文数: 0引用数: 0
h-index: 0
机构:Louisiana State Univ, Hlth Sci Ctr, Dept Neurol, Child Neurol,Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA