论文部分内容阅读
目的探讨肥厚性硬脑膜炎的临床、影像学、病理学特征及治疗。方法分析1例此病患者的临床资料。结果本例患者临床表现为慢性头痛、多颅神经麻痹等;头部MRI示局部硬脑膜异常强化灶;脑膜病理检查显示炎症改变,有多量浆细胞浸润,纤维组织增生。皮质类固醇激素治疗后疗效显著。结论肥厚性硬脑膜炎多以慢性头痛和多颅神经受累为主要临床表现;MRI可见特征性的硬脑膜强化改变;病理学检查是确诊的主要依据。
Objective To investigate the clinical, imaging, pathological features and treatment of hypertrophic dura meningitis. Methods The clinical data of one patient with this disease were analyzed. Results The clinical manifestations of patients with chronic headache, multiple cranial nerve paralysis; head MRI showed local dural abnormalities enhanced lesions; meningeal pathological examination showed inflammatory changes, a large number of plasma cells infiltration, fibrous tissue proliferation. Corticosteroid treatment significantly. Conclusions Hypertrophic dura meningitis mainly involves chronic headache and multiple cranial nerve involvement. MRI shows characteristic dural enhancement. Pathological examination is the main basis for diagnosis.