Pachymeningitis Demonstrated on Gallium SPECT/CT Scan

被引:3
|
作者
Wong, Veronica C. [1 ]
Yung, Grace [1 ,2 ]
Russo, Robert [1 ,2 ]
Reddel, Stephen W. [2 ,3 ]
Mansberg, Robert [2 ,3 ]
机构
[1] Concord Hosp, Dept Nucl Med, Concord, NSW 2139, Australia
[2] Univ Sydney, Sydney Med Sch, Sydney, NSW, Australia
[3] Concord Hosp, Dept Neurol, Concord, NSW, Australia
关键词
pachymeningitis; Ga-67; SPECT/CT; dura; meningitis; HYPERTROPHIC PACHYMENINGITIS;
D O I
10.1097/RLU.0000000000002484
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A 34-year-old woman presented with a 3-month history of right-sided headaches associated with photophobia and pulsatile tinnitus. Investigations including lumbar puncture revealed elevated opening CSF pressure, increased protein, and presence of monocytosis consistent with an inflammatory/infective process. Brain MRI showed an area of thickened enhancing dura around the venous sinus posteriorly. Ga-67 scintigraphy demonstrated focal intracranial uptake in the posterior occipital region, and biopsy confirmed a chronic inflammatory infiltrate with no granulomas.
引用
收藏
页码:305 / 309
页数:5
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