Tokushige Shin-Ichi, Matsuura Hiroyoshi, Hideyama Takuto, Tamura Koichi, Maekawa Risa, Shiio Yasushi
Department of Neurology, Tokyo Teishin Hospital, Japan.
Intern Med. 2016;55(5):523-6. doi: 10.2169/internalmedicine.55.5340. Epub 2016 Mar 1.
We herein describe a rare case of temporal arteritis associated with hypertrophic pachymeningitis. An 81-year-old man presented with a right temporal headache that had persisted for one month. A right superficial temporal artery biopsy revealed intimal hypertrophy with increased elastic fibers, consistent with temporal arteritis. Brain MRI using gadolinium enhancement showed thickened dura mater on the right frontal and temporal lobes, which led to the diagnosis of hypertrophic pachymeningitis. Intravenous methylprednisolone and oral prednisolone improved the patient's symptoms. According to our findings, hypertrophic pachymeningitis may be a potential cause of an ipsilateral temporal headache associated with temporal arteritis.
我们在此描述一例罕见的颞动脉炎合并肥厚性硬脑膜炎病例。一名81岁男性出现持续一个月的右侧颞部头痛。右侧颞浅动脉活检显示内膜肥厚，弹性纤维增多，符合颞动脉炎表现。使用钆增强的脑部MRI显示右侧额叶和颞叶硬脑膜增厚，从而诊断为肥厚性硬脑膜炎。静脉注射甲泼尼龙和口服泼尼松龙改善了患者症状。根据我们的发现，肥厚性硬脑膜炎可能是与颞动脉炎相关的同侧颞部头痛的一个潜在原因。
