Journal of Korean Neurosurgical Society

  • 제55권5호
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  • Pages.300-302
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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IgG4-Related Intracranial Hypertrophic Pachymeningitis : A Case Report and Review of the Literature

  • Takeuchi, Satoru (Department of Neurosurgery, National Defense Medical College) ;
  • Osada, Hideo (Department of Neurosurgery, National Defense Medical College) ;
  • Seno, Soichiro (Department of Neurosurgery, National Defense Medical College) ;
  • Nawashiro, Hiroshi (Department of Neurosurgery, National Defense Medical College)
  • 투고 : 2012.07.25
  • 심사 : 2014.05.15
  • 발행 : 2014.05.28
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초록

Hypertrophic pachymeningitis is an uncommon disorder that causes a localized or diffuse thickening of the dura mater. Recently, the possibility that IgG4-related sclerosing disease may underlie some cases of intracranial hypertrophic pachymeningitis has been suggested. We herein report the tenth case of IgG4-related intracranial hypertrophic pachymeningitis and review the previous literature. A 45-year-old male presented with left-sided focal seizures with generalization. Magnetic resonance imaging (MRI) revealed a diffuse thickening and enhancement of the right convexity dura matter and falx with focal nodularity. The surgically resected specimens exhibited the proliferation of fibroblast-like spindle cells and an infiltration of mononuclear cells, including predominantly plasma cells. The ratio of IgG4-positive plasma cells to the overall IgG-positive cells was 45% in the area containing the highest infiltration of plasma cells. On the basis of the above findings, IgG4-related sclerosing disease arising from the dura mater was suspected. IgG4-related sclerosing disease should be added to the pachymeningitis spectrum.

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참고문헌

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  8. Lui PC, Fan YS, Wong SS, Chan AN, Wong G, Chau TK, et al. : Inflammatory pseudotumors of the central nervous system. Hum Pathol 40 : 1611-1617, 2009 https://doi.org/10.1016/j.humpath.2009.04.016
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피인용 문헌

  1. Hypertrophic pachymeningitis vol.31, pp.7, 2014, https://doi.org/10.1007/s00381-015-2680-z
  2. Tumefactive Immunoglobulin G4-Related Disease Involving the Dura Mater: A Case Report and Literature Review vol.73, pp.2, 2015, https://doi.org/10.3348/jksr.2015.73.2.108
  3. A case report of atypical long segmental thoracic hypertrophic pachymeningitis with ossification of ligamentum flavum and literature review vol.26, pp.suppl1, 2014, https://doi.org/10.1007/s00586-017-5030-x
  4. Lymphoplasmacyte-Rich Meningioma With Atypical Angiomatous Feature and an Increased Deposition of IgG4-Positive Plasma Cells: An Unusual Case Report vol.26, pp.1, 2014, https://doi.org/10.1177/1066896917728103
  5. Neurological involvement of IgG4-related disease: description of a case and review of the literature vol.31, pp.2, 2014, https://doi.org/10.1177/1971400917698173
  6. An Immunoglobulin G4 Related Hypertrophic Pachymeningitis Presented with Recurrent Ophthalmoplegia vol.36, pp.4, 2014, https://doi.org/10.17340/jkna.2018.4.21
  7. IgG4-Related Sclerosing Disease Causing Spinal Cord Compression: The First Reported Case in Literature vol.2019, pp.None, 2014, https://doi.org/10.1155/2019/3618510
  8. Clinical presentation, treatment and outcome of IgG4-related pachymeningitis: From a national case registry and literature review vol.49, pp.3, 2014, https://doi.org/10.1016/j.semarthrit.2019.05.003
  9. IgG4-Related Disease in the Frontal Convexity Concomitant with Smoldering Multiple Myeloma: A Case Report and Review of the Literature Regarding Therapeutic Implications vol.143, pp.None, 2014, https://doi.org/10.1016/j.wneu.2020.07.212
  10. Successful treatment of IgG4‐related hypertrophic pachymeningitis with induction rituximab and dexamethasone followed by maintenance rituximab vol.9, pp.3, 2014, https://doi.org/10.1002/ccr3.3855
  11. IgG4-Related Disease of the Skull and Skull Base–A Systematic Review and Report of Two Cases vol.150, pp.None, 2014, https://doi.org/10.1016/j.wneu.2021.03.054