Revue Neurologique 2010-Feb
[Pachymeningitis associated with probable Horton's disease: a case report].
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BACKGROUND
Horton's disease is the most common vasculitis of elder people. Several neurological complications are reported, but pachymeningitis is exceptional.
METHODS
A 71-year-old patient who presented headache, hyperesthesia of the scalp, weight loss with a biological inflammatory syndrome and meningeal thickening on MRI. The diagnosis of pachymeningitis related to Horton's disease was retained. The patient was treated by corticosteroids with a good clinical, biological and radiological course after 22 months.
CONCLUSIONS
Horton's disease is a potential diagnosis in elderly persons with pachymeningitis and inflammatory syndrome.
