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- Multiple sclerosis
- clinical neurology
- cerebrovascular disease
- motor recovery
- neuronal plasticity
Idiopathic Hypertrophic Cranial Pachymeningitis (IHCP) is a rare disease with pain and compression related cranial nerve dysfunction as main clinical features. The leading diagnostic finding of IHCP consists of diffuse or localised thickening of the dura, which demands appropriate imaging and image interpretation. This case description aims at increasing the awareness for the clinical symptoms and imaging findings of this rare disease to allow prompt diagnosis and treatment initiation.
An 82-year-old man presented with recurrent left sided headache and worsening facial pain, which had begun more than 1 year ago. Neurological examination at presentation revealed ptosis of the left eye and gaze-induced nystagmus when looking to the left; visual function was intact and no other neurological signs or symptoms were noted. Pre-existing medical conditions included atrial arrhythmia requiring treatment with oral anticoagulants and arterial hypertension. External brain MRI at …
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