Open AccessThe Idiopathic Hypertrophic Spinal Pachymeningitis
Author(s) -
Shipra Singh,
Stuti Kumari,
Abhijeet Singh Sachan,
Satish Chandra Verma
Publication year - 2020
Publication title -
romanian neurosurgery
Language(s) - English
Resource type - Journals
eISSN - 2344-4959
pISSN - 1220-8841
DOI - 10.33962/roneuro-2020-064
Subject(s) - medicine , myelopathy , etiology , dura mater , surgery , paraplegia , muscle hypertrophy , decompression , spinal cord compression , back pain , spinal cord , pathology , alternative medicine , psychiatry
Idiopathic hypertrophic spinal pachymeningitis (IHSP) is a rare inflammatory condition characterized by chronic inflammatory hypertrophy of the dura mater. It can involve the entire spine. However, most cases are reported in the cervical and thoracic spine. It can progress from local pain to radiculopathy and eventually develop myelopathy. The aetiology of IHSP is not known. However, it has been suggested to be associated with many diseases. Here we report a case of IHSP in 21-year-old female who presented with paraplegia. The diagnosis was made on MRI Spine and histopathological examination. It was treated with surgical decompression, steroid therapy and patient improved gradually.