Idiopathic hypertrophic pachymeningitis causing seizures

We present a case of an 18-year-old boy diagnosed with hypertrophic pachymeningitis in the area of the hypoglossal canal. The diagnosis was made after a 2-month history of hypoglossal nerve palsy and dysphagia preceded by a middle ear infection. The patient was treated surgically with suspicion of meningioma, but no evidence of a tumor was found during the operation. The postoperative period was uneventful. At the latest check-up, MRI revealed regression of all previously observed pathological changes.

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Hypertrophic pachymeningitis

Dziedzic

Wojciechowski

Nowak

et al. 2015

Childs Nerv Syst

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Somatosensory reflex seizures in a patient with hypertrophic cranial pachymeningitis

Tao

et al. 2013

Neurol Sci

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Somatosensory-evoked reflex epilepsy is characterized by seizures in response to specific stimuli. It is highly uncommon for somatosensory-evoked focal seizures to be caused by movement or a change in posture. Reflex epilepsy induced by both somatosensory and proprioceptive stimulations has not been previously reported. In this study, we present a case of reflex epilepsy evoked by somatosensory and proprioceptive stimulation in a patient with hypertrophic cranial pachymeningitis. After comparing our patient with other cases of previously reported somatosensory-evoked reflex epilepsy, we determined that our patient had an unusual cause of reflex epilepsy.

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Focal status epilepticus as a manifestation of idiopathic hypertrophic cranial pachymeningitis

Navalpotro‐Gómez

Vivanco-Hidalgo

Cuadrado-Godia

et al. 2016

Journal of the Neurological Sciences

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Idiopathic hypertrophic pachymeningitis causing seizures

Cited by 7 publications

References 5 publications

Hypertrophic pachymeningitis

Hypertrophic pachymeningitis

Somatosensory reflex seizures in a patient with hypertrophic cranial pachymeningitis

Focal status epilepticus as a manifestation of idiopathic hypertrophic cranial pachymeningitis

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