Skip to main content
Fig. 3 | Chinese Neurosurgical Journal

Fig. 3

From: The protean manifestations of central nervous system IgG4-related hypertrophic pachymeningitis: a report of two cases

Fig. 3

Patient 2. MRI brain scans revealed diffuse bilateral pachymeningeal thickening that was T1-weighted isointense (a, axial, grey arrowhead) and demonstrated intense contrast-enhancement (b, white arrowhead). Cervical spinal imaging also revealed an intradural-extramedullary lesion at the C4/5 level posterior thecal sac that was also T1-weight isointense (c, sagittal, white arrow) and exhibited homogeneous contrast enhancement with a dural-tail sign (d). The spinal lesion caused significant cord compression (T2W, sagittal). After 2 months of prednisolone and azathioprine, a repeat MRI scan showed no recurrent lesion (f, contrast-enhanced T1W)

Back to article page

Chinese Neurosurgical Journal

ISSN: 2057-4967

Contact us