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Rare Causes of Hypertrophic Spinal Pachymeningitis Primarily Identified on Spinal MRI

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diffuse smooth thickening of C2--T4 causing stenosis with cord congestion. hypointense T2 and homogeneous post contrast enhancement. STIR coronal images of the thoracic spine showed incidental finding of multiple scattered… Click to show full abstract

diffuse smooth thickening of C2--T4 causing stenosis with cord congestion. hypointense T2 and homogeneous post contrast enhancement. STIR coronal images of the thoracic spine showed incidental finding of multiple scattered soft tissue attenuation parenchymal nodules in both CT guided biopsy of the largest nodule in the was performed (short Histopathological examination showed multiple coalescent granulomas with epithelioid histiocytes, Langhan’s type multinucleate giant cells, lymphocytes and central areas of incipient necrosis, suggestive of chronic granulomatous inflammation, suggestive of

Keywords: hypertrophic spinal; causes hypertrophic; spinal pachymeningitis; rare causes; primarily identified; pachymeningitis primarily

Journal Title: Annals of Indian Academy of Neurology
Year Published: 2022

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