Hypertrophic basal pachymeningitis, spread into orbit, in combination with Tolosa-Hunt syndrome: description of a clinical case
https://doi.org/10.56618/20712693_2022_14_4_111
Abstract
The presented work describes the experience of treating a patient with hypertrophic basal pachymeningitis, spread to the structures of the orbit, in combination with Tolosa-Hunt syndrome. The analysis of the tactics of surgical treatment for this disease in the world literature is given. Hypertrophic basal pachymeningitis is a chronic inflammatory disease that causes diffuse fibrosis and enlargement of the dura mater. In extremely rare cases, according to the clinical picture, this disease can be combined with Tolosa-Hunt syndrome due to compression of structures passing through the upper orbital fissure, which makes it difficult to make a basic diagnosis. The patient underwent surgical intervention with decompression of soft tissue structures of the orbit, optic nerve and taking a biopsy to determine the histological structure of the formation, a regression of neurological deficit was noted in the postoperative period. The combination of Tolosa-Hunt syndrome and hypertrophic basal pachymeningitis is very rare, an increase in the number of described cases will allow creating algorithms for the diagnosis and treatment of this disease.
About the Authors
V. V. Ivanov
Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia
Russian Federation
Russian Federation
Vladislav V. Ivanov.
2/1 Barrikadnaya St., Moscow, 125993
A. A. Shestakov
Botkin Moscow City Clinical Hospital; Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia
Russian Federation
Russian Federation
Andrey A. Shestakov.
2/1 Barrikadnaya St., Moscow, 125993
A. V. Gorozhanin
Botkin Moscow City Clinical Hospital; Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia
Russian Federation
Russian Federation
Aleksandr V. Gorozhanin.
2/1 Barrikadnaya St., Moscow, 125993
O. V. Mukhina
Botkin Moscow City Clinical Hospital; Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia
Russian Federation
Russian Federation
Olga V. Mukhina.
2/1 Barrikadnaya St., Moscow, 125993
O. N. Dreval
Botkin Moscow City Clinical Hospital; Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia
Russian Federation
Russian Federation
Oleg N. Dreval.
2/1 Barrikadnaya St., Moscow, 125993
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Review
For citations:
Ivanov V.V., Shestakov A.A., Gorozhanin A.V., Mukhina O.V., Dreval O.N. Hypertrophic basal pachymeningitis, spread into orbit, in combination with Tolosa-Hunt syndrome: description of a clinical case. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(4):111-116. (In Russ.) https://doi.org/10.56618/20712693_2022_14_4_111
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