nach oben

Erschienen in:

23.01.2019 | Letter to the Editor

Headache, chest pain, and multiplex cranial neuropathy

verfasst von: Giuseppe Lauria Pinter, Franco Ferracci, Susanna Usai, Daniele Cazzato, Alessandra Erbetta, Alessandro Perin, Gianluca Marucci

Erschienen in: Neurological Sciences | Ausgabe 7/2019

Einloggen, um Zugang zu erhalten

Excerpt

A 58-year-old man with unremarkable past medical history presented with severe episodic right-side periocular pain radiating to the frontal-temporal-parietal region, associated with unstable diplopia in the horizontal gaze. The clinical examination showed partial palsy of the right third cranial nerve sparing the intrinsic function. Prednisone 50 mg daily for 2 weeks was prescribed with sudden relief of pain and recovery of diplopia. Fifteen days after prednisone withdrawal, headache and diplopia caused by right sixth cranial nerve palsy reappeared. Intravenous methylprednisolone (1 g daily for 3 days) was given with transient full recovery. Two weeks later, the patient was readmitted due to recurrent severe headache and started prednisone 75 mg daily. Nevertheless, he developed diffuse chronic headache, bilateral sixth and partial left third cranial nerve palsy, right-side Claude-Bernand-Horner syndrome, dysphagia and dysphonia, intense chest pain, and gait unsteadiness with the need of a wheelchair. Early edema of the optic nerve was seen at the ophthalmological exam. …

Lu LX, Della-Torre E, Stone JH, Clark SW (2014) IgG4-related hypertrophic pachymeningitis: clinical features, diagnostic criteria, and treatment. JAMA Neurol 71(6):785–793. https://doi.org/10.1001/jamaneurol.2014.243 CrossRefPubMed

Evers S (2017) Facial pain: overlapping syndromes. Cephalalgia 37(7):705–713. https://doi.org/10.1177/0333102417703761 CrossRefPubMed

Subrati N, Vaqas B, Peterson D, Patel MC (2015) Hypertrophic pachymeningitis with sarcoidosis: a rare cause of craniocervical compression. BMJ Case Rep 2015:bcr2014208604. https://doi.org/10.1136/bcr-2014-208604 CrossRefPubMedPubMedCentral

Leavitt RY, Fauci AS, Bloch DA, Michel BA, Hunder GG, Arend WP, Calabrese LH, Fries JF, Lie JT, Lightfoot RW Jr et al (1990) The American College of Rheumatology 1990 criteria for the classification of Wegener’s granulomatosis. Arthritis Rheum 33(8):1101–1107CrossRefPubMed

Falk RJ, Gross WL, Guillevin L, Hoffman GS, Jayne DR, Jennette JC, Kallenberg CG, Luqmani R, Mahr AD, Matteson EL, Merkel PA, Specks U, Watts RA, American College of R, American Society of N, European League Against R (2011) Granulomatosis with polyangiitis (Wegener’s): an alternative name for Wegener’s granulomatosis. Arthritis Rheum 63(4):863–864. https://doi.org/10.1002/art.30286 CrossRefPubMed

Lutalo PM, D’Cruz DP (2014) Diagnosis and classification of granulomatosis with polyangiitis (aka Wegener’s granulomatosis). J Autoimmun 48-49:94–98. https://doi.org/10.1016/j.jaut.2014.01.028 CrossRefPubMed

Nagashima T, Maguchi S, Terayama Y, Horimoto M, Nemoto M, Nunomura M, Mori M, Seki T, Matsukawa S, Itoh T, Nagashima K (2000) P-ANCA-positive Wegener’s granulomatosis presenting with hypertrophic pachymeningitis and multiple cranial neuropathies: case report and review of literature. Neuropathology 20(1):23–30CrossRefPubMed

Nakano Y, Miyawaki Y, Sada KE, Yamamura Y, Kano Y, Hayashi K, Watanabe H, Matsumoto Y, Kawabata T, Wada J (2018) Development of hypertrophic pachymeningitis in a patient with antineutrophil cytoplasmic antibody-negative eosinophilic granulomatosis with polyangiitis. J Clin Rheumatol:1. https://doi.org/10.1097/RHU.0000000000000694

Peng A, Yang X, Wu W, Xiao Z, Xie D, Ge S (2018) Anti-neutrophil cytoplasmic antibody-associated hypertrophic cranial pachymeningitis and otitis media: a review of literature. Eur Arch Otorhinolaryngol 275:2915–2923. https://doi.org/10.1007/s00405-018-5172-4 CrossRefPubMedPubMedCentral

10.

Zhao M, Geng T, Qiao L, Shi J, Xie J, Huang F, Lin X, Wang J, Zuo H (2014) Idiopathic hypertrophic pachymeningitis: clinical, laboratory and neuroradiologic features in China. J Clin Neurosci 21(7):1127–1132. https://doi.org/10.1016/j.jocn.2013.09.025 CrossRefPubMed

11.

Shobha N, Mahadevan A, Taly AB, Sinha S, Srikanth SG, Satish S, Nandagopal R, Arunodaya GR, Chandramouli BA, Shankar SK (2008) Hypertrophic cranial pachymeningitis in countries endemic for tuberculosis: diagnostic and therapeutic dilemmas. J Clin Neurosci 15(4):418–427. https://doi.org/10.1016/j.jocn.2007.03.003 CrossRefPubMed

12.

Chen H, Zhang W, Jing J, Raza HK, Zhang Z, Zhu J, Liu Y, Cui G, Hua F, Dong L (2018) The clinical and imaging features of hypertrophic pachymeningitis: a clinical analysis on 22 patients. Neurol Sci. https://doi.org/10.1007/s10072-018-3619-4

13.

Matsumoto K, Akiyama M, Kajio N, Otomo K, Suzuki K, Nishina N, Kasuya K, Oishi N, Kameyama K, Takeuchi T (2018) Adolescent PR3-ANCA-positive hypertrophic pachymeningitis: a case report and review of the literature. Medicine 97(17):e0521. https://doi.org/10.1097/MD.0000000000010521 CrossRefPubMedPubMedCentral

14.

Uchida H, Ogawa Y, Tominaga T (2018) Marked effectiveness of low-dose oral methotrexate for steroid-resistant idiopathic hypertrophic pachymeningitis: case report. Clin Neurol Neurosurg 168:30–33. https://doi.org/10.1016/j.clineuro.2018.02.035 CrossRefPubMed

Titel: Headache, chest pain, and multiplex cranial neuropathy
verfasst von: Giuseppe Lauria Pinter
Franco Ferracci
Susanna Usai
Daniele Cazzato
Alessandra Erbetta
Alessandro Perin
Gianluca Marucci
Publikationsdatum: 23.01.2019
Verlag: Springer International Publishing
Erschienen in: Neurological Sciences / Ausgabe 7/2019
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-019-3718-x

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Neurologie

25.04.2024 | Hypotonie | Nachrichten

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Headache, chest pain, and multiplex cranial neuropathy

Excerpt

Leitlinien kompakt für die Neurologie

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Frühe Alzheimertherapie lohnt sich

Viel Bewegung in der Parkinsonforschung

Demenzkranke durch Antipsychotika vielfach gefährdet

Update Neurologie

Springer Medizin

Excerpt

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2019

Cancer and motor neuron disease—causal or coincidental? Two contrasting cases

Uremia presented as acute cranial neuropathy

Clinical, laboratory features, and prognostic factors in adult acute transverse myelitis: an Italian multicenter study

Subacute combined degeneration of the spinal cord is associated with tripterygium glycoside tablet usage

Convexal subarachnoid hemorrhage and acute ischemic stroke: a border zone matter?

One-year single-center experience with the Aperio thrombectomy device in large vessel occlusion in the anterior circulation: safety, efficacy, and clinical outcome

Leitlinien kompakt für die Neurologie

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Frühe Alzheimertherapie lohnt sich

Viel Bewegung in der Parkinsonforschung

Demenzkranke durch Antipsychotika vielfach gefährdet

Update Neurologie