A 79-Year-Old Woman With Worsening Headaches and Pachymeningeal Enhancement A Case Report From the National Multiple Sclerosis Society Case Conference Proceedings

Manali S. Sheth; David E. Hale; Justin C. McArthur; Scott S. Zamvil; Myla D. Goldman; Claire Riley; Tanuja Chitnis

doi:10.1212/NXI.0000000000200308

A 79-Year-Old Woman With Worsening Headaches and Pachymeningeal Enhancement A Case Report From the National Multiple Sclerosis Society Case Conference Proceedings

Manali S. Sheth, David E. Hale, Justin C. McArthur, Scott S. Zamvil, Myla D. Goldman, Claire Riley, Tanuja Chitnis

Research output: Contribution to journal › Article › peer-review

Abstract

A 79-year-old woman presented with subacutely worsening headaches and right arm weakness. MRI showed diffuse pachymeningeal enhancement. Serologic workup revealed elevated erythrocyte sedimentation rate and C-reactive protein. CSF demonstrated elevated opening pressure, a lymphocytic pleocytosis, and elevated protein. We discuss our differential diagnosis and distinguish between 2 overlapping clinical entities.

Original language	English (US)
Article number	e200308
Journal	Neurology: Neuroimmunology and NeuroInflammation
Volume	11
Issue number	6
DOIs	https://doi.org/10.1212/NXI.0000000000200308
State	Published - Aug 27 2024
Externally published	Yes

ASJC Scopus subject areas

Neurology
Clinical Neurology

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10.1212/NXI.0000000000200308

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Sheth, M. S., Hale, D. E., McArthur, J. C., Zamvil, S. S., Goldman, M. D., Riley, C., & Chitnis, T. (2024). A 79-Year-Old Woman With Worsening Headaches and Pachymeningeal Enhancement A Case Report From the National Multiple Sclerosis Society Case Conference Proceedings. Neurology: Neuroimmunology and NeuroInflammation, 11(6), Article e200308. https://doi.org/10.1212/NXI.0000000000200308

A 79-Year-Old Woman With Worsening Headaches and Pachymeningeal Enhancement A Case Report From the National Multiple Sclerosis Society Case Conference Proceedings. / Sheth, Manali S.; Hale, David E.; McArthur, Justin C. et al.
In: Neurology: Neuroimmunology and NeuroInflammation, Vol. 11, No. 6, e200308, 27.08.2024.

Research output: Contribution to journal › Article › peer-review

Sheth, MS, Hale, DE , McArthur, JC, Zamvil, SS, Goldman, MD, Riley, C & Chitnis, T 2024, 'A 79-Year-Old Woman With Worsening Headaches and Pachymeningeal Enhancement A Case Report From the National Multiple Sclerosis Society Case Conference Proceedings', Neurology: Neuroimmunology and NeuroInflammation, vol. 11, no. 6, e200308. https://doi.org/10.1212/NXI.0000000000200308

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A 79-Year-Old Woman With Worsening Headaches and Pachymeningeal Enhancement A Case Report From the National Multiple Sclerosis Society Case Conference Proceedings

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