Rapid bilateral visual loss as the initial clinical manifestation in idiopathic hypertrophic cranial pachymeningitis

Weiyang Shao; Chunyu Tian; Lixiong Gao; Bei Cui; Qian Shi

doi:10.1002/ccr3.5825

Rapid bilateral visual loss as the initial clinical manifestation in idiopathic hypertrophic cranial pachymeningitis

Clin Case Rep. 2022 May 6;10(5):e05825. doi: 10.1002/ccr3.5825. eCollection 2022 May.

Authors

Weiyang Shao^{1

2}, Chunyu Tian¹, Lixiong Gao¹, Bei Cui¹, Qian Shi¹

Affiliations

¹ Ophthalmology Department The Third Medical Center of Chinese PLA General Hospital Beijing China.
² Ophthalmology Department The Sixth Medical Center of Chinese PLA General Hospital Beijing China.

Abstract

A 59-year-old patient presented with 4-day acute painless bilateral visual loss, MRI results showed dura enhancement of the frontal, anterior cranial fossa. The patient was considered to have idiopathic hypertrophic cranial pachymeningitis based on laboratory tests and MRI data. After treatment with hormones, the visual acuity obviously improved.

Keywords: dural thickening; idiopathic hypertrophic cranial pachymeningitis; optic nerve injury; visual loss.

Publication types

Case Reports