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Hypertrophic Pachymeningitis Possibly Secondary to Otitis Media

Year: 2026

Type: article

Abstract: This study describes a 46-year-old female patient who initially presented with hearing impairment and subsequently developed a headache as the predominant symptom, accompanied by the involvement of multiple cranial nerves, including the optic, vestibulocochlear, and trigeminal nerves. Cerebrospinal fluid pressure progressively increased, and imaging demonstrated progression from unilateral to bilateral involvement of the tentorium cerebelli. Clinically, the patient's hypertrophic pachymeningitis was considered associated with otitis media. After receiving high-dose corticosteroid pulse therapy, the patient experienced marked relief of the headache and associated symptoms, which was presumed to be related to postinfectious immune-inflammatory mechanisms.

Source: Case Reports in Medicine

Authors: Bo Wang, Guoyong Qin, Jiafang Wang, Kebin Zeng

Institutions: The Affiliated Yongchuan Hospital of Chongqing Medical University, Chongqing Dazu District People's Hospital

Language: English

Topic: Vasculitis and related conditions

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $790

OpenAlex ID: W7134071665

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