Idiopathic Tumefactive Hypertrophic Pachymeningitis

Idiopathic hypertrophic pachymeningitis causing seizures

“…MRI shows either linear or nodular dural enhancement at anatomical sites corresponding to clinical findings [1]. Cerebral oedema or parenchymal involvement are rarely seen in IHP, and in our case appears to be associated with seizures, which has been encountered in half of cases (three of six) with it [1–6].…”

Nonneoplastic Mass Lesions of the Central Nervous System

“…56 Histopathologically, there is fibrosis with inflammatory cell infiltration. Mass-like presentations have been described (tumefactive pachymeningitis).…”

Fault Tree Analysis for Medical Applications

“…(c) Sarcoidosis: P(Sarcoidosis, KLH clinical, radiological, LP profile) ¼ Reasonably High. Isolated neurosarcoidosis is possible and presents as a chronic meningitis [13]. Silent pulmonary involvement can be screened using a CT Chest with Contrast.…”

“…(d) Sjogren's Syndrome: P(Sjogren's Syndrome, KLH clinical, radiological, LP profile) is reasonably high. This can be tested using anti-SSA and -SSB antibodies for initial screening [13]. (e) Temporal Arteritis: P(Temporal Arteritis, KLH clinical, radiological, LP profile) is lower than the rest given poor response to steroids in the past, continued preservation of vision untreated.…”

“…Fungal meningitis can be longstanding [13]. This was initially screened for in the LP and fungal High as Case Example 1 shows.…”