特发性肥厚性硬脊膜炎临床病理报告1例
Idiopathic hypertrophic spinal pachymeningitis:a clinicopathologic report
赵薛斌 1郭守刚 2任海涛 1赵燕环 1范思远 1姚东陂 3关鸿志1
作者信息
- 1. 中国医学科学院北京协和医院神经科,北京 100730
- 2. 山东第一医科大学附属省立医院神经内科,济南 250021
- 3. 北京朝阳中西医结合急诊抢救医院神经内科,北京100022赵薛斌现在河南科技大学第一附属医院神经内科,洛阳 471000
- 折叠
摘要
报道1例特发性肥厚性硬脊膜炎患者.患者为中年女性,病程迁延1年余,临床表现为反复发热、头痛、背痛,磁共振成像显示硬脊膜增厚伴强化.硬脊膜活组织检查病理确诊为肥厚性硬脊膜炎,经过手术与免疫治疗后患者症状较前好转.
Abstract
A case of idiopathic hypertrophic spinal pachymeningitis is reported.The patient was a middle-aged female,with the course of disease more than 1 year.Clinical manifestations included recurrent fever,headache and backache,and the magnetic resonance imaging showed diffuse enhancement and thickening of the spinal dura mater.Dural biopsy pathology finally confirmed hypertrophic spinal pachymeningitis.After treatment with surgery and immunotherapy,the patient's clinical symptoms improved.
关键词
特发性肥厚性硬脊膜炎/诊断/治疗Key words
Idiopathic hypertrophic spinal pachymeningitis/Diagnosis/Therapy引用本文复制引用
基金项目
北京协和医院中央高水平医院临床科研专项(2022-PUMCH-B-120)
出版年
2024