肥厚性硬脑膜炎的临床分析

Clinical analysis of hypertrophic cranial pachymeningitis

回顾性分析5例肥厚性硬脑膜炎(HCP)患者的病例报告,探讨肥厚性硬脑膜炎的临床特点。虽然目前关于肥厚性硬脑膜炎的病因尚未明确,但本研究中患者的常见病因包括副鼻窦炎、中耳胆脂瘤等;头痛、脑神经麻痹是其主要临床特点;经磁共振成像(MRI)扫描后发现,硬脑膜增厚呈线条状或斑块状是其主要的临床影像学特征,并且经增强扫描后显示,肥厚的硬脑膜呈现出强化特征。肥厚性硬脑膜炎具有不同的病因与临床表现,需要将MRI检查结果与具体临床表现相结合进行诊断。

The case reports of 5 patients with hypertrophic cranial pachymeningitis(HCP)were retrospectively analyzed,and the clinical features of hypertrophic cranial pachymeningitis were discussed.Although the etiology of hypertrophic cranial pachymeningitis is not yet clear,common causes of patients in this study included paranasal sinusitis and middle ear cholesteatoma;headache and cerebral nerve palsy were the main clinical features.Dural thickening in the form of lines or plaques was found to be the main clinical imaging feature after magnetic resonance imaging(MRI)scans,and the hypertrophied dura mater showed enhancement features after enhanced scans.Hypertrophic cranial pachymeningitis has different etiologies and clinical manifestations,and it is necessary to combine the MRI test results with specific clinical manifestations for diagnosis.