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A case report of atypical long segmental thoracic hypertrophic pachymeningitis with ossification of ligamentum flavum and literature review

Published on May 1, 2017in European Spine Journal2.51
· DOI :10.1007/s00586-017-5030-x
Ruofu Tang1
Estimated H-index: 1
(ZJU: Zhejiang University),
Fangcai Li13
Estimated H-index: 13
(ZJU: Zhejiang University),
Qixin Chen13
Estimated H-index: 13
(ZJU: Zhejiang University)
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Abstract
Background Thoracic spinal stenosis caused by ossification of ligamentum flavum (OLF) is frequently seen, but long segmental thoracic spinal cord compressed by consequent thickened ligament posteriorly was rarely reported.
  • References (40)
  • Citations (1)
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References40
Newest
Published on Aug 1, 2016in Neurological Sciences2.48
Daniele Coraci11
Estimated H-index: 11
,
Ilaria Paolasso13
Estimated H-index: 13
+ 2 AuthorsLuca Padua47
Estimated H-index: 47
(UCSC: Catholic University of the Sacred Heart)
Published on Apr 1, 2016in Neurological Sciences2.48
Hideto Nakajima15
Estimated H-index: 15
(Osaka Medical College),
Kazushi Yamane4
Estimated H-index: 4
(Osaka Medical College)
+ 1 AuthorsHidehiro Oku19
Estimated H-index: 19
(Osaka Medical College)
Hypertrophic pachymeningitis is an inflammatory disease that causes various neural symptoms, including headache and cranial neuropathy, presenting as pachymeningeal hypertrophy with contrast enhancement on imaging. The cause of this disease is classified as idiopathic, in which the underlying disease is unknown, and is associated with autoimmunity, such as antineutrophil cytoplasmic autoantibody (ANCA)-related vasculitis, IgG4-related disease and infections [1]. Here, we describe a patient with ...
Published on Jan 1, 2016in Journal of Clinical Neurology2.80
Sung Hee Kim1
Estimated H-index: 1
(Seoul National University Bundang Hospital),
Ji-Soo Kim31
Estimated H-index: 31
(Seoul National University Bundang Hospital)
Dear Editor, Immunoglobulin G4-related disease (IgG4-RD) is a recently recognized clinical entity characterized by elevated serum IgG4 and infiltration of IgG4-positive plasma cells leading to organ swelling or sclerosis.1 IgG4-RD may affect various organs, more commonly the orbit or pituitary gland than the nervous system. However, due to increasing reports on meningeal inflammation associated with elevated serum IgG4, IgG4-related hypertrophic pachymeningitis (IgG4-HP) has become an important ...
Published on Nov 1, 2015in Medicine1.87
Xia Li35
Estimated H-index: 35
,
Jiuliang Zhao10
Estimated H-index: 10
+ 2 AuthorsYan Zhao30
Estimated H-index: 30
Reports of hypertrophic pachymeningitis associated with myeloperoxidase-antineutrophil cytoplasmic antibody (MPO-ANCA) localized exclusively in the spine were quite rare. Two cases of ANCA-associated systemic vasculitis (AASV) presenting with hypertrophic spinal pachymeningitis (HSP) causing low back pain and numbness are described. Two patients showed prominent systemic and local inflammatory reactions manifested as fever, elevated levels of erythrocyte sedimentation rate and C-reactive protein...
Published on May 28, 2015in Case Reports
Nagina Subrati1
Estimated H-index: 1
(King's College),
Babar Vaqas1
Estimated H-index: 1
(Charing Cross Hospital)
+ 1 AuthorsManeesh C. Patel10
Estimated H-index: 10
(Charing Cross Hospital)
We describe a case of a 58-year-old woman with a suspected dural tumour. She presented with progressive pyramidal weakness. MRI confirmed compression of the medulla oblongata and spinal cord at the level of C1–3. The localised dural mass lesion homogenously enhanced on T1 MRI and was considered most likely to be a meningioma. Incidentally, CT scan of the chest revealed peribronchial soft tissue thickening, suggestive of pulmonary sarcoidosis. Owing to the progressive nature of her weakness, she ...
Published on Apr 1, 2015in Radiology7.61
Christian B. van der Pol1
Estimated H-index: 1
(Ottawa Hospital Research Institute),
Santanu Chakraborty7
Estimated H-index: 7
(Ottawa Hospital Research Institute)
+ 2 AuthorsJean Michaud1
Estimated H-index: 1
(Ottawa Hospital Research Institute)
There are several differential diagnostic considerations for an extramedullary mass causing cord displacement.
Published on Feb 1, 2015in Journal of the Neurological Sciences2.65
Wataru Shiraishi3
Estimated H-index: 3
(Kyushu University),
Shintaro Hayashi7
Estimated H-index: 7
(Kyushu University)
+ 3 AuthorsJun-ichi Kira53
Estimated H-index: 53
(Kyushu University)
Abstract A 43-year-old woman with a 3-year history of headache, fever, and swelling of the forehead, presented to our hospital. A general examination revealed palmar and plantar pustules. Blood analyses showed an elevated white blood cell count, C-reactive protein level, and erythrocyte sedimentation rate. Brain MRI revealed a partially thickened cranial bone with gadolinium enhancement, and also abnormally enhanced dura mater. Bone scintigraphy showed involvement of the cranial bone and bilater...
Published on Jan 1, 2015in Experimental Neurobiology
Byung Nam Yoon3
Estimated H-index: 3
(IIT: Inha University),
Soo Jung Kim12
Estimated H-index: 12
(IIT: Inha University)
+ 5 AuthorsSeong Hye Choi20
Estimated H-index: 20
(IIT: Inha University)
A 25-year-old man presented with blurred vision and chronic headache. His brain MRI revealed bilateral frontal pachymeningeal enhancement with leptomeningeal enhancement. The patient had experienced recurrent oral ulcer and had anterior uveitis and papulopustules skin lesion. We diagnosed him with hypertrophic pachymeningitis (HP) associated with neuro-Behcet's disease (NBD). There have been few reports describing HP in patients with NBD. We report a case of NBD presenting as HP.
Published on Dec 1, 2014in Journal of the Neurological Sciences2.65
Mohamad Ezzeldin1
Estimated H-index: 1
(UTMB: University of Texas Medical Branch),
Ahmad Shawagfeh1
Estimated H-index: 1
(UTMB: University of Texas Medical Branch)
+ 2 AuthorsXiang Fang25
Estimated H-index: 25
(UTMB: University of Texas Medical Branch)
Published on Jul 1, 2014in Journal of Neurology, Neurosurgery, and Psychiatry8.27
Tomomi Yonekawa12
Estimated H-index: 12
(Kyushu University),
Hiroyuki Murai23
Estimated H-index: 23
(Kyushu University)
+ 9 AuthorsKiyomi Sakata27
Estimated H-index: 27
(Iwate Medical University)
Objectives To clarify the prevalence, frequent causes and distinct features of hypertrophic pachymeningitis (HP) according to background conditions in a nationwide survey in Japan. Methods The study began with a preliminary survey to determine the approximate number of HP patients diagnosed from 1 January 2005 to 31 December 2009, and was followed by a questionnaire survey for clinical and laboratory findings. HP was defined as a condition with thickening of the cranial or spinal dura mater with...
Cited By1
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Published on Apr 1, 2019in World Neurosurgery1.72
Chuan Guo1
Estimated H-index: 1
,
Daiwen Zhu + 6 AuthorsZhiyu Peng1
Estimated H-index: 1
Objective To explore the effect and safety of transforaminal percutaneous endoscopic decompression for lower thoracic spinal stenosis. Methods We reviewed 6 patients receiving transforaminal percutaneous endoscopic thoracic decompression for sympathetic symptoms in the lower extremities. Pre- and postoperative Frankel grade and Japanese Orthopaedic Association scale (JOA) score, Oswestry Disability Index (ODI) score, and visual analog scale (VAS) scores of back and lower extremities were also ev...
Published on Jan 1, 2018
Alexander M. McKinney21
Estimated H-index: 21
(UMN: University of Minnesota),
Zuzan Cayci5
Estimated H-index: 5
(UMN: University of Minnesota)
+ 4 AuthorsFrederick Ott3
Estimated H-index: 3
(UMN: University of Minnesota)
Imaging of the cervical spine is a routine part of a radiology practice. Familiarity with the appearance of the cervical and thoracic spinal vertebrae is critical to providing accurate imaging interpretation. In particular, the complex development of the spine, particularly the cervical spine, merits attention to aid in recognition of spinal normal anatomic variants.
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