Pachyméningite au cours de la maladie de Wegener: deux observations

Piette, A.M.; Mourad, Jean‐Jacques; Godmer, P; Graveleau, P; Gepner, P; Cosserat, J; Chapman, A; Blétry, O

doi:10.1016/0248-8663(96)86686-0

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Les Vascularites à Anca (Figure 2)1

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“…Les pachyméningites sont une des manifestations neurologiques centrales de la granulomatose avec polyangeite (GPA), principalement dans la forme granulomateuse de la maladie à médiation Th1 (22,(67)(68)(69)(70)(71)…”

Section: Les Vascularites à Anca (Figure 2)unclassified

Les pachyméningites

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Mékinian

2017

La Revue de Médecine Interne

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Pachymeningitis is a fibrosing and inflammatory process, which involves the dura mater. Some pachymeningitis are cranial and induce headaches and cranial nerve palsies. Others are spinal and responsible for nerve roots or spinal cord compression. MRI shows contrast enhancement thickening of the dura mater. Etiologies are infectious (syphilis, tuberculosis, etc.) or inflammatory (sarcoidosis, granulomatosis with polyangiitis, IgG4-related disease, idiopathic). Corticosteroids are the main treatment. The use of immunosuppressive drugs or rituximab is yet to be determined and probably adapted to each etiology.

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Section: Les Vascularites à Anca (Figure 2)unclassified