Journal Information
Vol. 24. Issue 2.
Pages 82-87 (March - April 2013)
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Vol. 24. Issue 2.
Pages 82-87 (March - April 2013)
Caso clínico
Paquimeningitis hipertrófica crónica: presentación de 2 casos
Chronic hypertrophic pachymeningitis: 2 clinical cases are presented
Yanire Sánchez Medina
Corresponding author
yanire.sm@hotmail.com

Autor para correspondencia.
, Angel Triana Pérez, Jaime Domínguez Baez, Luis Francisco Gómez Perals, Pedro Antonio Pérez del Rosario
Servicio de Neurocirugía, Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz, Tenerife, España
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Resumen

La paquimeningitis hipertrófica crónica (PHC) es un proceso inflamatorio de etiología desconocida que se caracteriza por afectar a la duramadre, provocando un crecimiento pseudotumoral de la misma. La clínica de presentación es consecuencia del efecto compresivo sobre estructuras neurológicas aunque en ocasiones se manifiesta por síntomas irritativos. El diagnóstico se realiza por exclusión de causas infecciosas, neoplásicas y autoinmunes fundamentalmente. El tratamiento esteroideo se considera la terapia más utilizada hoy en día. Se presentan 2 casos clínicos de PHC en los que se practicó resección quirúrgica de la lesión sin precisar posteriormente tratamiento coadyuvante dada la favorable evolución clínica y radiológica.

Palabras clave:
Paquimeningitis hipertrófica idiopática
Esteroides
Resonancia magnética
Inmunosupresores
Summary

Chronic hypertrophic pachymeningitis is an inflammatory process of unknown aetiology characterised by a thickening of the dura mater causing pseudotumoural growth. Clinical manifestations are usually secondary to compression of adjacent neurological structures but may be also secondary to inflammatory processes. Diagnosis is mainly obtained by excluding infectious, neoplastic and autoimmune causes. Nowadays, steroid treatment is the most commonly used therapy. Two clinical cases of hypertrophic pachymeningitis are presented which were treated by surgery without any additional treatment and with good clinical and radiological development.

Keywords:
Idiopathic cranial hypertrophic pachymeningitis
Steroids
Magnetic resonance
Immunosuppressive agents

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