| Lymphoplasmacyte-rich meningioma mimicking idiopathic hypertrophic pachymeningitis. | |
| | |
MedLine Citation:
|
PMID: 17548990 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 24-year-old man presented with long-term headache and progressive visual loss. Neuro-ophthalmic manifestations included finger counting acuity in both eyes, weakly reactive pupils, pale optic discs, and increased deep tendon reflexes. Brain MRI showed meningeal thickening that involved the optic nerves and chiasm and enveloped and displaced the brainstem as far caudally as the foramen magnum. The diffuse extensive nature of the lesion suggested an inflammatory process such as idiopathic hypertrophic pachymeningitis (IHP), but anterior temporal brain biopsy disclosed a relatively high proportion of meningothelial cells with islands of polyclonal inflammatory reaction consistent with a diagnosis of lymphoplasmacyte-rich meningioma (LRM), a rare variant. Among the 19 reported cases of LRM, none has shown as extensive a mass as seen in our patient. Distinguishing between LRM and IHP is important because these entities are treated differently. |
| | |
Authors:
|
Parima Hirunwiwatkul; Jonathan D Trobe; Mila Blaivas |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society Volume: 27 ISSN: 1070-8022 ISO Abbreviation: J Neuroophthalmol Publication Date: 2007 Jun |
Date Detail:
|
Created Date: 2007-06-05 Completed Date: 2007-08-15 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9431308 Medline TA: J Neuroophthalmol Country: United States |
Other Details:
|
Languages: eng Pagination: 91-4 Citation Subset: IM |
Affiliation:
|
Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Diagnosis, Differential Dura Mater / pathology* Humans Hypertrophy Magnetic Resonance Imaging Male Meningeal Neoplasms / diagnosis* Meningioma / diagnosis* Meningitis / diagnosis* Plasma Cells / pathology* |
| Comments/Corrections | |
Comment In:
|
J Neuroophthalmol. 2007 Jun;27(2):89-90
[PMID:
17548989
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Anticonvulsants during electroconvulsive therapy: review and recommendations.
Next Document: Idiopathic hypertrophic pachymeningitis mimicking lymphoplasmacyte-rich meningioma.